Language
Contact Us

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 Value (PPO)

•    H5434-023 - BlueMedicare Value (PPO) - Pinellas
•    H5434-024 - BlueMedicare Value (PPO) - Highlands, Manatee, Sarasota
•    H5434-025 - BlueMedicare Value (PPO) - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton
•    H5434-026 - BlueMedicare Value (PPO) - Broward, Indian River, Martin, Palm Beach, St. Lucie
•    H5434-030 - BlueMedicare Value (PPO) - Charlotte, Lee
•    H5434-031 - BlueMedicare Value (PPO) - Clay, Duval,  Nassau, St. Johns, Flagler, Volusia, Brevard
•    H5434-034 - BlueMedicare Value (PPO) - Polk, Hillsborough
•    H5434-035 - BlueMedicare Value (PPO) - Citrus, Hernando
•    H5434-036 - BlueMedicare Value (PPO) - Lake, Sumter, Marion 

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

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

•    2025 Formulary - BlueMedicare Value (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 Value (PPO)

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

  • H5434-023 - Pinellas

  • H5434-024 - Highlands, Manatee, Sarasota

  • H5434-025 - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton

  • H5434-026 - Broward, Indian River, Martin, Palm Beach, St. Lucie

  • H5434-030 - Charlotte, Collier, Lee

  • H5434-031 - Clay, Duval,  Nassau, St. Johns, Flagler, Volusia

  • H5434-032 - Miami-Dade

  • H5434-033 - Brevard, Orange, Osceola, Seminole

  • H5434-034 - Polk, Hillsborough

  • H5434-035 - Hernando, Pasco

  • H5434-036 - Lake, Sumter, Marion 

  • H5434-039 - Alachua, Citrus

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
Y0011_FBM2036_C