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Call Member Services at 1-800-926-6565 (TTY 1-800-955-8770)

Hours: 8:00 a.m. to 8:00 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8:00 a.m. to 8:00 p.m. local time, Monday through Friday, except for major holidays.

2025 BlueMedicare Select (PPO)

•    H5434-002 - BlueMedicare Select (PPO) - Broward, Palm Beach, St. Lucie, Miami-Dade, Charlotte, Collier, Highlands, Hillsborough, Lee, Manatee, Pinellas, Orange, Osceola, Seminole, Bay, Duval, Escambia, Marion, Santa Rosa
•    H5434-045 - BlueMedicare Select (PPO) - Monroe, Okeechobee, Collier, DeSoto, Glades, Hardee, Hendry, Pasco, Alachua, Baker, Bradford, Columbia, Dixie, Gilchrist, Gulf, Hamilton, Holmes, Jackson, Lafayette, Levy, Madison, Putnam, Suwannee, Taylor, Union, Washington

•    2025 Enrollment Form - BlueMedicare Select (PPO) - last updated 8/5/24

•    2025 Medicare Star Rating - BlueMedicare Select (PPO) - last updated 10/17/23

•    2025 Formulary - BlueMedicare Select (PPO) - last updated 10/15/2024

•    2025 Low Income Subsidy (LIS) - Extra Help Program - last updated 10/1/24

•    2025 Prescription Drug Transition Policy - last updated 8/14/24

2024 BlueMedicare Select (PPO)

View and download important forms and documents about your BlueMedicare plan from Florida Blue.

  • H5434-002 - Broward, Palm Beach, St. Lucie, Charlotte, Collier, Highlands, Hillsborough, Lee, Manatee, Pinellas, Orange, Osceola, Bay, Duval, Escambia, Marion, Santa Rosa

2024 Enrollment Form Last Updated
2024 Enrollment Form 9/8/2023

 

2024 Medicare Star Rating Last Updated
2024 Medicare Star Rating 10/22/2023

 

2024 Prescription Drug Transition Policy Last Updated
2024 Prescription Drug Transition Policy 9/20/2023

 

2024 Low-Income Subsidy - Extra Help Program Last Updated
2024 Low-Income Subsidy - Extra Help Program 9/11/2023

 

FBM FORM NF
Last Updated: 10.01.2024
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