Benefits & Coverage of Medicare Advantage Plans

  • Your satisfaction is very important to us! We’re here to help resolve any issues you may have as a member of our plan.

  • You can enroll over the phone by contacting Premera Blue Cross Medicare Advantage Plans at 888-868-7767 (TTY: 711), 8 a.m. to 8 p.m., 7 days a week.

    Enrollment Form eDocumentFill out the form online, print it, and fax it to 855-332-4053.

    You may also mail it to the following address:
    Premera Blue Cross Medicare Advantage
    PO Box 4198
    Portland, OR 97208-4198

    You will receive a notice in the mail acknowledging receipt of your enrollment request. Individuals must have both Part A and Part B to enroll. Medicare beneficiaries may also enroll in Premera Blue Cross Medicare Advantage Plans through the CMS Medicare Online Enrollment Center located at www.medicare.gov.

    Summary of Benefits 

    Multi-Language Insert  We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 888-850-8526.

    Star Ratings Information  Each year CMS evaluates Medicare Advantage plans on various criteria and assigns star ratings based on plan performance. Please note that Premera Blue Cross is too new to be rated. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

    Changing your plan is easy (for existing Premera Medicare Advantage Members only)

    If you are an existing Premera Medicare Advantage member, changing to a different Premera Medicare Advantage plan is as easy as 1-2-3.

    Here’s what existing members need to do to change their plan:

    1. Print the Plan Change Form.
    2. Fill it out.
    3. Mail it to Premera Blue Cross Medicare Advantage Plans at:
    4. Premera Blue Cross Medicare Advantage Plans
      PO Box 4198
      Portland, OR 97228-4198
      or fax it to 1-800-332-4053.

    You will receive a notice in the mail acknowledging receipt of the completed plan change or a request for additional information if the form is not complete.

    Members may enroll in a plan only during specific times of the year

    From October 15 through December 7 of each year, beneficiaries have the option to change plans, or add or drop Part D Coverage. Contact Customer Service for details.

    Premera Blue Cross Medicare Advantage Plans contract with CMS is renewed annually and the availability of coverage beyond the end of the current contract year is not guaranteed.

    For more detailed information about our plans:

    Premera Blue Cross Medicare Advantage (HMO) 

    Premera Blue Cross Medicare Advantage Plus (HMO) 

    Premera Blue Cross Medicare Advantage (HMO-POS) 

    Premera Blue Cross Medicare Advantage Plus (HMO-POS)