Medicare HMO Blue ValueRx (HMO)

Download 2013 Summary of Benefits

Access to Doctors

With your Medicare HMO Blue ValueRx plan, 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.

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, e.g., when you are temporarily outside of the plan's service area

  • 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 PDF 2013 Medicare HMO Blue ValueRx 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