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 eDocument—Fill 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 AdvantagePO Box 4198Portland, 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.
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:
Premera Blue Cross Medicare Advantage PlansPO Box 4198Portland, OR 97228-4198or 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.
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.
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)
Monday through Friday, 8 a.m. to 8 p.m.
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