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Medicare HMO Blue ValueRx (HMO)

Download 2013 Summary of Benefits
Monthly Plan Premium $28.00* Click to go to enroll now Page Call us:
1-800-678-2265
TTY: 1-800-522-1254

Hours of operation
:
7 days a week
8 a.m. - 8 p.m.

Or have us call you.
Click to go to request a call Page

Access to Doctors and Hospitals

If you choose Medicare HMO Blue ValueRxSM, you'll pick a primary care provider from our Medicare HMO Blue network. Your primary care provider will coordinate your care and refer you to any in-network specialists you may need. Our list of network providers shows you the number and type of providers in our network.

You must use in-network providers except in the following circumstances:

  • Emergency services.

  • Urgently needed care from out-of-network providers when network providers are temporarily unavailable or inaccessible.

  • Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are temporarily outside the plan's service area.

For more information, please refer to the plan Evidence of Coverage (EOC) agreement.

Is my doctor in the network?

If you already have a primary care provider and want to learn whether he or she is already a part of our network, just visit Find a Doctor or call 1-800-200-4255 (TTY: 1-800-522-1254), 8:00 a.m. to 8:00 p.m. ET.

  • October 1—February 14: 7 days a week

  • February 15—September 30: Monday through Friday

Looking for a new physician?

You can choose a physician from our list of participating providers. Our network of physicians is subject to change, but you can keep up-to-date with the most complete list of current network physicians by:

  • using our Find a Doctor feature at www.bluecrossma.com or

  • calling Member Service at 1-800-200-4255 (TTY: 1-800-522-1254) 8:00 a.m. to 8:00 p.m. ET as follows: from October 1 through February 14, seven days a week, and from February 15 through September 30, Monday through Friday, to request a copy of the directory.

*Your monthly premium will be different if you qualify for Extra Help from Medicare.