Resources for your Medicare Advantage plan

Everything you need in one place, including links to directories for doctors and pharmacies, your Evidence of Coverage documents, medicare list details and more!

Enrollment Forms

Low Income Subsidy Premium

Authorization Forms

Social Security Deduction Application

Claim Forms

Summary of Benefits

These documents are intended to help you better understand your coverage, and summarizes key features, such as what is covered, how much you might owe for certain services and details about services and procedures that may not be covered.

Annual Notice of Changes

These important documents help prepare you for Medicare's Annual Open Enrollment (AEP) by providing details about new and changed benefits.

Evidence of Coverage

Find all the details about your plan. Consider this your owner's manual for your BCBSKS Medicare Advantage plan.

Directories

If you're searching for a new doctor, hospital, dentist or other health care provider, this is the place to look.

Disenrollment Forms

Formulary

Start here to find out which of your prescription drugs are covered and what the cost will be for you.

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