Resources for your Blue Medicare Rx plan
All you need in one place, including doctor and pharmacy directories, Evidence of Coverage documents, Medicare details, and more!
Enrollment Forms
- 2025 Enrollment form for Blue MedicareRx Value (PDP), Blue MedicareRx Plus (PDP), and Blue MedicareRx Essentials (PDP)
(form MC709 09/24)
Low Income Subsidy Premium
- 2025 Low Income Subsidy Premium for Blue MedicareRx Value (PDP), Blue MedicareRx Plus (PDP), and Blue MedicareRx Essentials (PDP)
(document 37-043 10/24)
Summary of Benefits
This document is designed to help you understand your coverage by highlighting key features, including what is covered, potential costs for certain services, and information on services or procedures that may not be covered.
- 2025 Summary of Benefits for Blue MedicareRx Value (PDP), Blue MedicareRx Plus (PDP), and Blue MedicareRx Essentials (PDP)
(document MC707 09/24)
Annual Notice of Changes
These documents provide important information on new and updated benefits, helping you get ready for Medicare's Annual Open Enrollment (AEP).
- 2025 Annual Notice of Changes for Blue MedicareRx Value (PDP)
(document MC711 07/24) - 2025 Annual Notice of Changes for Blue MedicareRx Plus (PDP)
(document MC712 07/24)
Evidence of Coverage
Find all the details about your plan. Consider this your owner's manual for your Blue MedicareRx plan.
- 2025 Evidence of Coverage for Blue MedicareRx Value (PDP)
(document MC714 09/24) - 2025 Evidence of Coverage for Blue MedicareRx Plus (PDP)
(document MC715 09/24) - 2025 Evidence of Coverage for Blue MedicareRx Essentials (PDP)
(document MC716 09/24)
Directory
If you're searching for a new doctor, hospital, dentist or other health care provider, this is the place to look.
- Pharmacies
Formularies
Start here to find out which of your prescription drugs are covered and what the cost will be for you.
- 2025 Formulary for Blue MedicareRx Value (PDP)
(document MC727) - 2025 Formulary for Blue MedicareRx Plus (PDP)
(document MC729) - 2025 Formulary for Blue MedicareRx Essentials (PDP)
(document MC731)
Medicare resources
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