2025 BlueMedicare Select (PPO)
• H5434-002 - BlueMedicare Select (PPO) - Broward, Palm Beach, St. Lucie, Miami-Dade, Charlotte, Collier, Highlands, Hillsborough, Lee, Manatee, Pinellas, Orange, Osceola, Seminole, Bay, Duval, Escambia, Marion, Santa Rosa
• H5434-045 - BlueMedicare Select (PPO) - Monroe, Okeechobee, Collier, DeSoto, Glades, Hardee, Hendry, Pasco, Alachua, Baker, Bradford, Columbia, Dixie, Gilchrist, Gulf, Hamilton, Holmes, Jackson, Lafayette, Levy, Madison, Putnam, Suwannee, Taylor, Union, Washington
• 2025 Evidence of Coverage - BlueMedicare Select (PPO) - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Miami-Dade, Orange, Osceola, Palm Beach, Pinellas, Santa Rosa, Seminole, St. Lucie - last updated 9/26/24
• 2025 Evidence of Coverage - BlueMedicare Select (PPO) - Alachua, Baker, Bradford, Collier, Columbia, DeSoto, Dixie, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Holmes, Jackson, Lafayette, Levy, Madison, Monroe, Okeechobee, Pasco, Putnam, Suwannee, Taylor, Union, Washington - last updated 9/26/24
• 2025 Summary of Benefits - BlueMedicare Select (PPO) - Bay, Broward, Charlotte, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Miami-Dade, Palm Beach, Pinellas, Santa Rosa, St. Lucie - last updated 8/30/24
• 2025 Summary of Benefits - BlueMedicare Select (PPO) - Orange, Osceola, Seminole - last updated 8/30/24
• 2025 Summary of Benefits - BlueMedicare Select (PPO) - Baker, Bradford, Columbia, DeSoto, Dixie, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Holmes, Jackson, Lafayette, Levy, Madison, Monroe, Okeechobee, Pasco, Putnam, Suwannee, Taylor, Union, Washington - last updated 8/30/24
• 2025 Summary of Benefits - BlueMedicare Select (PPO) - Alachua - last updated 8/30/24
• 2025 Summary of Benefits - BlueMedicare Select (PPO) - Collier - last updated 8/30/24
• 2025 Enrollment Form - BlueMedicare Select (PPO) - last updated 8/5/24
• 2025 Medicare Star Rating - BlueMedicare Select (PPO) - 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 Select (PPO)
View and download important forms and documents about your BlueMedicare plan from Florida Blue.
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H5434-002 - Broward, Palm Beach, St. Lucie, Charlotte, Collier, Highlands, Hillsborough, Lee, Manatee, Pinellas, Orange, Osceola, Bay, Duval, Escambia, Marion, Santa Rosa
2024 Annual Notice of Changes | Last Updated |
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2024 Annual Notice of Changes - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 9/18/2023 |
2024 Evidence of Coverage | Last Updated |
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2024 Evidence of Coverage - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 7/26/2024 |
2024 Summary of Benefits | Last Updated |
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2024 Summary of Benefits - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 9/18/2023 |
2024 Comprehensive Formulary | Last Updated |
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2024 Comprehensive Formulary - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 10/23/2024 |
2024 Enrollment Form | Last Updated |
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2024 Enrollment Form | 9/8/2023 |
2024 Medicare Star Rating | Last Updated |
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2024 Medicare Star Rating | 10/22/2023 |
2024 Prescription Drug Transition Policy | Last Updated |
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2024 Prescription Drug Transition Policy | 9/20/2023 |
2024 Low-Income Subsidy - Extra Help Program | Last Updated |
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2024 Low-Income Subsidy - Extra Help Program | 9/11/2023 |