BlueMedicare Rx
- Enrollment Form
- Disenrollment Form
- 2024 Pharmacy Directory - Updated 11-01-2024
- BlueMedicare Premier Rx PDP 2024 Formulary - Updated 11-1-2024
- Notice of Availability of Electronic Documents
- Summary of Benefits
- ACH Form
- Evidence of Coverage
- Rights and Responsibilities
- 2024 Medicare Star Rating S5795
- 2024 Medicare Star Rating S5795 - Spanish
- ACH form (S5795)
- 2024 LIS Premium Summary
- Multi-Language Insert
- CVS Mail Order Pharmacy Form
- Enrollment form
- Disenrollment form
- 2024 Pharmacy Directory - Updated 11-01-2024
- BlueMedicare Value Rx (PDP) 2024 Formulary - Updated 11-1-2024
- Notice of Availability of Electronic Documents
- Summary of Benefits
- ACH Form
- Evidence of Coverage
- Rights and Responsibilities
- 2024 Medicare Star Rating S5795
- 2024 Medicare Star Rating S5795 - Spanish
- ACH form (S5795)
- 2024 LIS Premium Summary
- Multi-Language Insert
- CVS Mail Order Pharmacy Form
Y0083_2024ABM_AEP_WEBPAGES_M CMS Approved
Last updated 10/01/2023
To file a marketing complaint about a sales agent or broker, call 1-800-MEDICARE or the plan’s Customer Service number. When you call, it’s important to provide the agent’s or broker’s name, if possible.