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Medicare HMO Blue PlusRx (HMO)

$167* per month Overall Plan Rating Star Rating Enroll Now Call us:

Hours of operation:
7 days a week
8 a.m. - 8 p.m.
Or have us call you.
Request a Call

Access to Doctors and Hospitals

If you're a member of Medicare HMO BlueSM PlusRx, you'll choose 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 Evidence of Coverage 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 or

  • calling Member Service at 1-800-200-4255 (TTY: 1-800-522-1254) to request a copy of the directory.

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