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Forms and Documents

Find Medicare Advantage, Medicare Advantage Dual Care Plus (HMO SNP), Medicare Advantage Dual Care Plus Preferred (PPO SNP), prescription drug, Medicare Supplement and other forms you need to help you manage your Medicare plan.

Blue Cross Medicare AdvantageSM Plans Documents

Blue Cross MedicareRx (PDP)SM Plan Documents

Blue Medicare Supplement InsuranceSM (Medigap) Plan Documents

Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)SM and Blue Cross Medicare Advantage Dual Care Plus Preferred (PPO SNP)SM Plan Documents

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General Plan Information

Prescription Drug Information

Other

If you would like to submit feedback directly to Medicare, please use the Medicare Complaint Form or contact the Office of the Medicare Ombudsman.

General Plan Information

Prescription Drug Information

Other

If you would like to submit feedback directly to Medicare, please use the Medicare Complaint Form or contact the Office of the Medicare Ombudsman.