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Medicare Advantage (Part C)

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

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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.

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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 01/23/2025

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

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

FBM FORM NF

Last Updated: 10.01.2024
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