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Call Member Services at 1-800-926-6565 (TTY 1-800-955-8770)

Hours: 8:00 a.m. to 8:00 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8:00 a.m. to 8:00 p.m. local time, Monday through Friday, except for major holidays.

2025 BlueMedicare Classic (HMO)

2025 Plan Mapping 
•    H1035-017 - BlueMedicare Classic (HMO) - Miami-Dade
•    H1035-019 - BlueMedicare Classic (HMO) - Broward, Martin, St. Lucie, Bay, Citrus, Clay, Duval, Escambia, Marion, Okaloosa, Santa Rosa, St. Johns, Walton, Charlotte, Collier, Lee, Manatee, Sarasota, Brevard, Lake, Sumter
•    H1035-020 - BlueMedicare Classic (HMO) - Orange, Osceola, Seminole
•    H1035-021 - BlueMedicare Classic (HMO) - Hernando, Hillsborough, Pasco, Polk

•    2025 Enrollment Form - BlueMedicare Classic (HMO) - last updated 7/12/24

•    2025 Medicare Star Rating - BlueMedicare Classic (HMO) - last updated 10/16/24

•    2025 Low Income Subsidy (LIS) - Extra Help Program - last updated 10/1/24

•    2025 Prescription Drug Transition Policy - last updated 8/14/24

2024 BlueMedicare Classic (HMO)

View and download important forms and documents about your BlueMedicare plan from Florida Blue.

  • H1035-017 - Miami-Dade

  • H1035-018 - Palm Beach

  • H1035-019 - Broward, Martin, St. Lucie, Bay, Citrus, Clay, Duval, Escambia, Marion, Okaloosa, Santa Rosa, St. Johns, Charlotte, Collier, Lee, Manatee, Sarasota, Brevard, Lake, Sumter

  • H1035-020 - Orange, Osceola, Seminole

  • H1035-021 - Hernando, Hillsborough, Pasco, Polk

2024 Enrollment Form Last Updated
2024 Enrollment Form 8/24/2023

 

2024 Medicare Star Rating Last Updated
2024 Medicare Star Rating 10/22/2023

 

2024 Prescription Drug Transition Policy Last Updated
2024 Prescription Drug Transition Policy 9/20/2023

 

2024 Low-Income Subsidy - Extra Help Program Last Updated
2024 Low-Income Subsidy - Extra Help Program 9/11/2023

 

FBM FORM NF
Last Updated: 10.01.2024
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