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Blue MedicareRx sm Resources
As a person with Medicare, you have
choices in how you get your Medicare
Prescription Drug coverage. One option
is to get prescription drug coverage
through a Medicare Prescription Drug
Plan, like Blue MedicareRx. Our suite
of Blue MedicareRx plans is carefully
designed to provide various options
to meet different needs. This page provides
you with a link to all the required
Blue MedicareRx documentation.
Plan Information:
Blue MedicareRx Summary of
Benefits: Contains a benefit
comparison chart showing premiums, cost
shares and additional benefit information.
The Evidence of Coverage
gives additional details about your
Medicare prescription drug coverage.
The Evidence of Coverage is an important
legal document. Please keep it in a
safe place.
Please reference the Evidence of Coverage
for information on premiums, cost-sharing,
out-of-network coverage, rights and
responsibilities upon disenrollment
and any applicable conditions associated
with using the plan benefits. If you
are not sure which Blue MedicareRx plan
you are a member of, please refer to
your member documentation, or call member
services.
Select
from the list below - what state do
you live ?
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| Anthem
BCBS - COLORADO - Part
D (PDP) |
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Anthem
BCBS - CONNECTICUT -
Part D (PDP) |
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Anthem
BCBS - NEVADA - Part
D (PDP) |
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Anthem
BCBS - NEW HAMPSHIRE
- Part D (PDP) |
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Anthem
BCBS - OHIO - Part D
(PDP) |
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Anthem
BCBS - VIRGINIA - Part
D (PDP) |
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Blue
MedicareRx Summary of Benefits - 
Printable
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| BCBS
of GA - GEORGIA - Part D (PDP) |
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| Blue
MedicareRx Summary of Benefits: Contains
a benefit comparison chart showing premiums,
cost shares and additional benefit information.
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Information
on the Grievances and Appeals Process:
For information on our Grievance and Appeals
Process, please see the section of your
Evidence of Coverage (EOC) document titled
"What to Do If You Have a Problem
or Complaint (Coverage Decisions, Appeals,
Complaints)". This section of your
EOC document explains how to ask for coverage
decisions and make appeals if you are
having trouble getting the prescription
drugs you think are covered by our plan.
This includes asking us to make exceptions
to the rules and/or extra restrictions
on your coverage. The EOC document explains
how to make complaints about quality of
care, waiting times, customer service,
and other concerns.
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APPLICATION MAIL TO: |
Oleg
Skurskiy
18375 Ventura Blvd. # 226
Tarzana , CA 91356 |
You
also can fax complete application
to Fax: (818) 776-9865
If
you have any questions, please call
(818) 654-4548 |
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