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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 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 Annual Notice of Changes - BlueMedicare Value (PPO)  - Pinellas - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO)  - Highlands, Manatee, Sarasota - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO)  - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Broward, Indian River, Martin, Palm Beach, St. Lucie - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Charlotte, Lee - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Clay, Duval, Flagler, Nassau, St. Johns, Volusia - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Brevard - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Hillsborough, Polk - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Hernando - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Lake, Marion, Sumter - last updated 8/23/24
•    2025 Annual Notice of Changes - BlueMedicare Value (PPO) - Citrus - last updated 8/23/24

•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Pinellas - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Highlands, Manatee, Sarasota - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Broward, Indian River, Martin, Palm Beach, St. Lucie - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Charlotte, Lee - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Brevard, Clay, Duval, Flagler, Nassau, St. Johns, Volusia - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Hillsborough, Polk - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Citrus, Hernando - last updated 9/26/24
•    2025 Evidence of Coverage - BlueMedicare Value (PPO) - Lake, Marion, Sumter - last updated 9/26/24

•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Pinellas - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Highlands, Manatee, Sarasota - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Broward, Indian River, Martin, Palm Beach, St. Lucie - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Charlotte, Lee - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Clay, Duval, Nassau, St. Johns - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Brevard, Flagler, Volusia - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Hillsborough, Polk - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Citrus, Hernando - last updated 8/30/24
•    2025 Summary of Benefits - BlueMedicare Value (PPO) - Lake, Marion, Sumter - last updated 8/30/24

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

•    2025 Medicare Star Rating - BlueMedicare Value (PPO) - last updated 10/16/24

•    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 Annual Notice of Changes Last Updated
2024 Annual Notice of Changes - Pinellas 9/18/2023
2024 Annual Notice of Changes - Highlands, Manatee and Sarasota 9/18/2023
2024 Annual Notice of Changes - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Walton and Wakulla 9/18/2023
2024 Annual Notice of Changes - Broward, Indian River, Martin, Palm Beach and St. Lucie 9/18/2023
2024 Annual Notice of Changes - Charlotte, Collier and Lee 9/18/2023
2024 Annual Notice of Changes - Clay, Duval, Flagler, Nassau, St. Johns and Volusia 9/18/2023
2024 Annual Notice of Changes - Miami-Dade 9/18/2023
2024 Annual Notice of Changes - Brevard, Orange, Osceola and Seminole 9/18/2023
2024 Annual Notice of Changes - Hillsborough and Polk 9/18/2023
2024 Annual Notice of Changes - Hernando and Pasco 9/18/2023
2024 Annual Notice of Changes - Lake, Marion and Sumter 9/18/2023
2024 Annual Notice of Changes - Alachua and Citrus 9/18/2023

 

2024 Evidence of Coverage Last Updated
2024 Evidence of Coverage - Pinellas 7/26/2024
2024 Evidence of Coverage - Highlands, Manatee and Sarasota 7/26/2024
2024 Evidence of Coverage - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla and Walton 7/26/2024
2024 Evidence of Coverage - Broward, Indian River, Martin, Palm Beach and St. Lucie 7/26/2024
2024 Evidence of Coverage - Charlotte, Collier and Lee 7/26/2024
2024 Evidence of Coverage - Clay, Duval, Flagler, Nassau, St. Johns and Volusia 7/26/2024
2024 Evidence of Coverage - Miami-Dade 7/26/2024
2024 Evidence of Coverage - Brevard, Orange, Osceola and Seminole 7/26/2024
2024 Evidence of Coverage - Hillsborough and Polk 7/26/2024
2024 Evidence of Coverage - Hernando and Pasco 7/26/2024
2024 Evidence of Coverage - Lake, Marion and Sumter 7/26/2024
2024 Evidence of Coverage - Alachua and Citrus 7/26/2024

 

2024 Summary of Benefits Last Updated
2024 Summary of Benefits - Pinellas 9/18/2023
2024 Summary of Benefits - Highlands, Manatee and Sarasota 9/18/2023
2024 Summary of Benefits - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla and Walton 9/18/2023
2024 Summary of Benefits - Broward, Indian River, Martin, Palm Beach and St. Lucie 9/18/2023
2024 Summary of Benefits - Charlotte, Collier and Lee 9/26/2023
2024 Summary of Benefits - Clay, Duval, Nassau and St. Johns 9/18/2023
2024 Summary of Benefits - Flagler and Volusia 9/18/2023
2024 Summary of Benefits - Miami-Dade 9/18/2023
2024 Summary of Benefits - Brevard, Orange, Osceola and Seminole 9/18/2023
2024 Summary of Benefits - Hillsborough and Polk 9/18/2023
2024 Summary of Benefits - Hernando and Pasco 9/18/2023
2024 Summary of Benefits - Lake, Marion and Sumter 9/18/2023
2024 Summary of Benefits - Alachua 9/18/2023
2024 Summary of Benefits - Citrus 9/18/2023

 

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

 

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Last Updated: 10.01.2024
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