Your Medicare plan.
Your documents.
Everything you need to know about your Blue Medicare Advantage Plan can be found in the documents below. View them online, print from here, or request hard copies—we’ll mail them to you.
Downloads
2023 Plan Resources
Member Handbook
Helps you take advantage of the many benefits and services available to you.
Summary of Benefits
An easy to reference view of your Blue Medicare Advantage benefits.
Evidence of Coverage
Details for everything the plan covers and your cost-sharing.
Formulary
A list of prescription drugs covered by your Part D benefit.
Important 2023 Benefit Information
Important changes to your plan that will become effective 4/1/2023 and 7/1/2023
Blue Medicare Advantage PPO Plan Provider & Pharmacy Directory
View program description, 2023 benefits summary and FAQs.
Annual Notice of Change
Outlining any changes to costs, benefits and more.
Info Kit
Outlining any changes to costs, benefits and more.