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Submitted URL: http://www.bcbsmnmedicare.com/
Effective URL: https://www.bluecrossmn.com/members/shop-plans/medicare-plans/medicare-materials
Submission: On November 30 via api from US — Scanned from US
Effective URL: https://www.bluecrossmn.com/members/shop-plans/medicare-plans/medicare-materials
Submission: On November 30 via api from US — Scanned from US
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2 forms found in the DOMGET /search
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Skip to main content Utility * English Español - Opens in a new window Hmong - Opens in a new window ကညီ - Opens in a new window Af Soomaali - Opens in a new window Tiếng Việt - Opens in a new window * Careers * About Us * Blog - Opens in a new window * Contact Us * Login Search Menu Mobile main navigation * Member Login Member Login * Log In & Register * Claims * ID Card * Coverage * Paying Your Premiums * BlueCrossMN Mobile App * COVID-19 Resource Center * Forms * Shop Plans Shop Plans * Overview * Individual and Family Plans * Medicare Plans * Minnesota Health Care Programs * Employer Provided Plans * Prescription Drugs * Dental Plans * Vision Plans * International Health Plans * Find a Doctor Find a Doctor * Find a Doctor * Find a Dentist * Find an Eye Care Provider * About Networks * Tips for Choosing Care * Care Cost Estimator * Doctor On Demand * Find a Pharmacy or Drug * Wellbeing Wellbeing * Living Healthy * Preventive Care * Emotional & Behavioral Health * Health Programs * Fitness Discounts & Sharecare * Caring for Others ↗ - Opens in a new window Utility * English Español - Opens in a new window Hmong - Opens in a new window ကညီ - Opens in a new window Af Soomaali - Opens in a new window Tiếng Việt - Opens in a new window * Careers * About Us * Blog - Opens in a new window * Contact Us * Login Main navigation * Member Login Log In & Register Claims ID Card Coverage Paying Your Premiums BlueCrossMN Mobile App COVID-19 Resource Center Forms * Shop Plans Overview Individual and Family Plans Medicare Plans Minnesota Health Care Programs Employer Provided Plans Prescription Drugs Dental Plans Vision Plans International Health Plans * Find a Doctor Find a Doctor Find a Dentist Find an Eye Care Provider About Networks Tips for Choosing Care Care Cost Estimator Doctor On Demand Find a Pharmacy or Drug * Wellbeing Living Healthy Preventive Care Emotional & Behavioral Health Health Programs Fitness Discounts & Sharecare Caring for Others ↗ - Opens in a new window Search Breadcrumb 1. Members 2. Shop Plans 3. Medicare Plans 4. Medicare Materials MEDICARE MATERIALS ORDER MEDICARE MATERIALS TO BE DELIVERED TO YOUR HOME OR DOWNLOAD A DIGITAL VERSION IF AVAILABLE You can also order materials by calling 1-877-662-2583/TTY 711, 8 a.m. to 8 p.m. Central Time, daily. If you prefer printed enrollment materials delivered to your mailbox, we’re happy to send it them you. Simply select the materials below that best fit your needs. SELECT YOUR FREE, NO OBLIGATION 2023 MATERIALS BELOW. Select your county to see plans and options available for that location. MEDICARE DECISION GUIDE Start here to get an overview of available Medicare plans, benefits and costs. This guide will help you confidently choose a plan that’s right for you in three easy steps. Download 2023 PDF - English Download 2023 PDF - Spanish Step-by-Step Guide to Medicare Understand your Medicare benefits. Download 2023 PDF-[COMING SOON] County - Any -AllAitkinAnokaBeckerBeltramiBentonBig StoneBlue EarthBrownCarltonCarverCassChippewaChisagoClayClearwaterCookCottonwoodCrow WingDakotaDodgeDouglasFaribaultFillmoreFreebornGoodhueGrantHennepinHoustonHubbardIsantiItascaJacksonKanabecKandiyohiKittsonKoochichingLac qui ParleLake of the WoodsLakeLe SueurLincolnLyonMahnomenMarshallMartinMcLeodMeekerMille LacsMorrisonMowerMurrayNicolletNoblesNormanOlmstedOtter TailPenningtonPinePipestonePolkPopeRamseyRed LakeRedwoodRenvilleRiceRockRoseauSaint LouisScottSherburneSibleyStearnsSteeleStevensSwiftToddTraverseWabashaWadenaWasecaWashingtonWatonwanWilkinWinonaWrightYellow Medicine 2023 2023 Medicare Decision Guide Decision Guide Confidently choose a plan that’s right for you in 3 easy steps. This guide includes an overview of available Medicare plans, benefits and costs. Add to order 2023 Medicare Advantage Metro Region Enrollment Kit Enrollment Kit Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers and dental benefits. Also included is information on Medical-only plans for enrollees who have credible prescription drug coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Anoka Carver Chisago Dakota Hennepin Isanti Ramsey Scott Sherburne Washington Wright Add to order 2023 Medicare Advantage South Region Enrollment Kit Enrollment Kit Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers and dental benefits. Also included is information on Medical-only plans for enrollees who have credible prescription drug coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Blue Earth Dodge Faribault Fillmore Freeborn Houston Martin Mower Nicollet Olmsted Steele Wabasha Waseca Watonwan Winona Add to order 2023 Medicare Advantage West Region Enrollment Kit Enrollment Kit Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers and dental benefits. Also included is information on Medical-only plans for enrollees who have credible prescription drug coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Becker Beltrami Benton Big Stone Brown Cass Chippewa Clay Clearwater Cottonwood Crow Wing Douglas Grant Hubbard Jackson Kandiyohi Kittson Lac qui Parle Lake of the Woods Lincoln Lyon Mahnomen Marshall Morrison Murray Nobles Norman Otter Tail Pennington Polk Pope Red Lake Redwood Renville Roseau Stearns Swift Todd Wadena Wilkin Add to order 2023 Platinum Blue Enrollment Kit Enrollment Kit Medicare-approved Cost plan with three medical plan options that you can pair with built-in prescription drug coverage for greater convenience and simplicity. Features our lowest priced option for health coverage only. Kit includes plan information, summary of benefits, star ratings sheet, plan applications and forms and return envelope. Aitkin Carlton Cook Goodhue Itasca Kanabec Koochiching Lake Le Sueur McLeod Meeker Mille Lacs Pine Pipestone Rice Rock Saint Louis Sibley Stevens Traverse Yellow Medicine Add to order 2023 MedicareBlue Rx Enrollment Kit RX (PDP) Enrollment Kit A stand-alone prescription drug plan that offers three options for prescription drug coverage. Pair it with medical-only health coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Add to order 2023 Medicare Advantage / Platinum Blue (Cost) Individual Standard (Choice and Complete plans) Formulary RX Formulary Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com Add to order 2023 Medicare Advantage / Platinum Blue (Cost) Individual Value (Core, Comfort, and Group MAPD Classic Rx1 plans) Formulary RX Formulary Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com Add to order 2023 Medicare Supplement Enrollment Kit Supplement Enrollment Kit Learn about Medicare Supplement plans that supplement your Original Medicare benefits. These plans provide medical only coverage and include SilverSneakers. Kit includes plan information, Choosing a Medigap Policy, summary of coverage and disclosure of information, plan application and return envelope. Add to order 2023 Medicare Supplement Summary of Coverage and Disclosure Summary of Benefits Medicare Supplement plan overview and coverage information. Add to order 2023 Summary of Benefits Med. Advantage Core, Choice, Complete - South Summary of Benefits Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans Blue Earth Dodge Faribault Fillmore Freeborn Houston Martin Mower Nicollet Olmsted Steele Wabasha Waseca Watonwan Winona Add to order 2023 Summary of Benefits Med. Advantage Core, Comfort, Choice, Complete - Metro Summary of Benefits Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans Anoka Carver Chisago Dakota Hennepin Isanti Ramsey Scott Washington Add to order 2023 Summary of Benefits Med. Advantage Core, Comfort, Choice, Complete - West Summary of Benefits Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans Becker Beltrami Benton Big Stone Brown Cass Chippewa Clay Clearwater Cottonwood Crow Wing Douglas Grant Hubbard Jackson Kandiyohi Kittson Lac qui Parle Lake of the Woods Lincoln Lyon Mahnomen Marshall Morrison Murray Nobles Norman Otter Tail Pennington Polk Pope Red Lake Redwood Renville Roseau Sherburne Stearns Swift Todd Wadena Wilkin Wright Add to order 2023 Summary of Benefits Medicare Advantage Freedom BlueSM - Metro Summary of Benefits Summary of the medical benefits covered by Blue Cross Medicare Advantage plans Anoka Carver Chisago Dakota Hennepin Isanti Ramsey Scott Washington Add to order 2023 Summary of Benefits Medicare Advantage Freedom BlueSM - South Summary of Benefits Summary of the medical benefits covered by Blue Cross Medicare Advantage plans Blue Earth Dodge Faribault Fillmore Freeborn Houston Martin Mower Nicollet Olmsted Steele Wabasha Waseca Watonwan Winona Add to order 2023 Summary of Benefits Medicare Advantage Freedom BlueSM - West Summary of Benefits Summary of the medical benefits covered by Blue Cross Medicare Advantage plans Becker Beltrami Benton Big Stone Brown Cass Chippewa Clay Clearwater Cottonwood Crow Wing Douglas Grant Hubbard Jackson Kandiyohi Kittson Lac qui Parle Lake of the Woods Lincoln Lyon Mahnomen Marshall Morrison Murray Nobles Norman Otter Tail Pennington Polk Pope Red Lake Redwood Renville Roseau Sherburne Stearns Swift Todd Wadena Wilkin Wright Add to order 2023 Summary of Benefits Platinum Blue Summary of Benefits Summary of the medical and prescription drug benefits covered by Platinum Blue (Cost) and Platinum Blue with Rx (Cost) plans Aitkin Carlton Cook Goodhue Itasca Kanabec Koochiching Lake Le Sueur McLeod Meeker Mille Lacs Pine Pipestone Rice Rock Saint Louis Sibley Stevens Traverse Yellow Medicine Add to order 2022 2022 Medicare Decision Guide Decision Guide Confidently choose a plan that’s right for you in 3 easy steps. This guide includes an overview of available Medicare plans, benefits and costs. Add to order 2022 Medicare Advantage Metro Region Enrollment Kit Enrollment Kit Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers and dental benefits. Also included is information on Medical-only plans for enrollees who have credible prescription drug coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Anoka Carver Chisago Dakota Hennepin Isanti Ramsey Scott Washington Add to order 2022 Medicare Advantage South Region Enrollment Kit Enrollment Kit Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers and dental benefits. Also included is information on Medical-only plans for enrollees who have credible prescription drug coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Blue Earth Dodge Faribault Fillmore Freeborn Houston Martin Mower Nicollet Olmsted Steele Wabasha Waseca Watonwan Winona Add to order 2022 Medicare Advantage West Region Enrollment Kit Enrollment Kit Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers and dental benefits. Also included is information on Medical-only plans for enrollees who have credible prescription drug coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope. Becker Beltrami Benton Big Stone Brown Cass Chippewa Clay Clearwater Cottonwood Crow Wing Douglas Grant Hubbard Jackson Kandiyohi Kittson Lac qui Parle Lake of the Woods Lincoln Lyon Mahnomen Marshall Morrison Murray Nobles Norman Otter Tail Pennington Polk Pope Red Lake Redwood Renville Roseau Sherburne Stearns Swift Todd Wadena Wilkin Wright Add to order 2022 Platinum Blue Enrollment Kit RX (Cost) Enrollment Kit Medicare-approved Cost plan with three medical plan options that you can pair with built-in prescription drug coverage for greater convenience and simplicity. Features our lowest priced option for health coverage only. Kit includes plan information, summary of benefits, star ratings sheet, plan applications and forms and return envelope. Aitkin Carlton Cook Goodhue Itasca Kanabec Koochiching Lake Le Sueur McLeod Meeker Mille Lacs Pine Pipestone Rice Rock Saint Louis Sibley Stevens Traverse Yellow Medicine Add to order 2022 MedicareBlue Rx Enrollment Kit RX (PDP) Enrollment Kit A stand-alone prescription drug plan that offers two options for prescription drug coverage. Pair it with medical-only health coverage. Kit includes plan information, summary of benefits, star ratings sheet, plan enrollment form and return envelope Add to order 2022 Medicare Advantage (PPO) / Platinum BlueSM (Cost) Formulary RX Formulary Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com Add to order 2022 Medicare Step-by-Step Guide Step-by-Step Guide New to Medicare guide to navigate Medicare choices All Add to order 2022 Medicare Supplement Enrollment Kit with Health History Supplement Enrollment Kit Learn about Medicare Supplement plans that supplement your Original Medicare benefits. These plans provide medical only coverage and include SilverSneakers. Request this kit if you have been enrolled in Medicare Part B for more than six months and do not have guaranteed issue rights for another reason. Kit includes plan information, Choosing a Medigap Policy, summary of coverage and disclosure of information, plan applications and forms and return envelope. Add to order 2022 Medicare Supplement Enrollment Kit without Health History Supplement Enrollment Kit Learn about Medicare Supplement plans that supplement your Original Medicare benefits. These plans provide medical only coverage and include SilverSneakers. Request this kit if you are just becoming eligible for Medicare or have other guaranteed issue rights. Kit includes plan information, Choosing a Medigap Policy, summary of coverage and disclosure of information, plan applications and forms and return envelope. Add to order 2022 Medicare Supplement Summary of Coverage and Disclosure Summary of Benefits Medicare Supplement plan overview and coverage information. Add to order 2022 Summary of Benefits Platinum Blue Summary of Benefits Summary of the medical and prescription drug benefits covered by Platinum Blue (Cost) and Platinum Blue with Rx (Cost) plans Aitkin Carlton Cook Goodhue Itasca Kanabec Koochiching Lake Le Sueur McLeod Meeker Mille Lacs Pine Pipestone Rice Rock Saint Louis Sibley Stevens Traverse Yellow Medicine Add to order 2022 Summary of Benefits PPO Metro region - MA only Summary of Benefits Summary of the medical benefits covered by Blue Cross Medicare Advantage plans Anoka Carver Chisago Dakota Hennepin Isanti Ramsey Scott Washington Add to order 2022 Summary of Benefits PPO Metro region - MAPD Summary of Benefits Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans Anoka Carver Chisago Dakota Hennepin Isanti Ramsey Scott Washington Add to order 2022 Summary of Benefits PPO South region - MA only Summary of Benefits Summary of the medical benefits covered by Blue Cross Medicare Advantage plans Blue Earth Dodge Faribault Fillmore Freeborn Houston Martin Mower Nicollet Olmsted Steele Wabasha Waseca Watonwan Winona Add to order 2022 Summary of Benefits PPO South region - MAPD Summary of Benefits Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans Blue Earth Dodge Faribault Fillmore Freeborn Houston Martin Mower Nicollet Olmsted Steele Wabasha Waseca Watonwan Winona Add to order 2022 Summary of Benefits PPO West region - MA only Summary of Benefits Summary of the medical benefits covered by Blue Cross Medicare Advantage plans Becker Beltrami Benton Big Stone Brown Cass Chippewa Clay Clearwater Cottonwood Crow Wing Douglas Grant Hubbard Jackson Kandiyohi Kittson Lac qui Parle Lake of the Woods Lincoln Lyon Mahnomen Marshall Morrison Murray Nobles Norman Otter Tail Pennington Polk Pope Red Lake Redwood Renville Roseau Sherburne Stearns Swift Todd Wadena Wilkin Wright Add to order 2022 Summary of Benefits PPO West region - MAPD Summary of Benefits Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans Becker Beltrami Benton Big Stone Brown Cass Chippewa Clay Clearwater Cottonwood Crow Wing Douglas Grant Hubbard Jackson Kandiyohi Kittson Lac qui Parle Lake of the Woods Lincoln Lyon Mahnomen Marshall Morrison Murray Nobles Norman Otter Tail Pennington Pope Red Lake Redwood Renville Roseau Sherburne Stearns Swift Todd Wadena Wilkin Wright Add to order Last updated October 1, 2022 S5743_091322P01_M Y0138_091322P02_M Blue Cross offers Cost, PPO, and PDP plans with Medicare contracts. Enrollment in these Blue Cross plans depends on contract renewal. This information is not a complete description of benefits. Call (651) 662-2583 or 1-877-662-2583 (TTY call 711) for more information about Cost plans. Call 1-877-662-2583 (TTY call 711) for more information about supplement plans. Prime Therapeutics LLC is an independent company providing pharmacy benefit management services. SilverSneakers® is a registered trademark of Tivity Health, Inc., an independent company that provides health and fitness programs. Blue Cross Medicare Advantage, Platinum Blue, Senior Gold and other Medicare Supplement and SecureBlue plans are eligible. 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