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

Hours: 8 a.m. to 8 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 a.m. to 8 p.m. local time, Monday through Friday, except for major holidays.

2025 BlueMedicare Preferred (HMO)

•    H1035-052 - BlueMedicare Preferred (HMO) - Hillsborough, Polk

•    2025 Enrollment Form - BlueMedicare Preferred (HMO) - last updated 7/12/24

•    2025 Formulary - BlueMedicare Preferred (HMO) - 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 Preferred (HMO)

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

  • H1035-052 - Hillsborough, Polk

2024 Evidence of Coverage Last Updated
2024 Evidence of Coverage - Hillsborough and Polk 7/26/2024

 

2024 Summary of Benefits Last Updated
2024 Summary of Benefits - Hillsborough and Polk 9/18/2023

 

2024 Comprehensive Formulary Last Updated
2024 Comprehensive Formulary - Hillsborough and Polk 10/23/2024

 

2024 Enrollment Form Last Updated
2024 Enrollment Form 8/24/2023

 

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
Disclaimers
Last Updated: 10.01.2024
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