BlueMedicare Premier (HMO)
- 2024 MA Enrollment form
- 2024 HMO Disenrollment form
- 2024 Pharmacy Directory
- BlueMedicare Premier HMO 2024 Formulary - Updated 8-30-2024
- Notice of Availability of Electronic Documents
- Summary of Benefits
- ACH Form
- Evidence of Coverage
- Rights and Responsibilities
- 2024 Medicare Star Rating H6158
- 2024 Medicare Star Rating H6158 - Spanish
- 2024 LIS Premium Summary
- Multi-Language Insert
- Sapphire Card Reimbursement Request Form
- Walmart Wellness Benefits OTC Catalog
- 2024 Covered Insulin Products
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.