You are now a member. What`s next?

You are now a member. What’s next?
1
Blue Cross Medicare
Advantage HMO,
HMO-POS or PPO
Enrollment Confirmation
edicare must approve your
M
enrollment form before you are
officially a member.
2
Medicare Enrollment
Confirmation Letter
You will receive a letter ten days after
Medicare approves your enrollment
with Blue Cross Medicare Advantage.
3
Blue Cross Medicare
Advantage ID Card
Show your Blue Cross Medicare
Advantage ID card to your primary care
provider (PCP) and your pharmacist.
Your Welcome Kit has:
•• Evidence of Coverage
4
Welcome Kit
•• Formulary
•• Welcome Letter
5
6
Health Assessment
Annual Wellness
Check-up
Y0096_MRK_GRP_RDMAP16NR
Questions?
•• Provider Directory (if applicable)
Call Blue Cross Medicare
Advantage Customer Service
Once you’ve enrolled you’ll receive
a Health Risk Questionnaire in the
mail. We ask that you complete it
and return it to us. We may need
to call you to ask some further
questions about your health. You
may have answered some of these
questions when you first enrolled,
but we’d like to check on the
information now.
1-877-299-1008
TTY/TDD: 711
Call your PCP to plan a visit for your
annual wellness check-up. You can
also talk with your PCP about health
screenings you might need or other
health and wellness matters during
your visit.
We are open 8 a.m. - 8 p.m.,
local time, 7 days a week.
If you are calling from
February 15 through
September 30, alternate
technologies (for example,
voicemail) will be used on
weekends and holidays.
101117.0815
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and
restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
This information is available for free in other languages. Please call our Customer Service number at 1-877-299-1008. (TTY/TDD
users should call 711). We are open between 8 a.m. and 8 p.m., local time,7 days a week. If you are calling from February 15 through
September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.
Esta información está disponible en otros idiomas de forma gratuita. Comuníquese a nuestro número de Servicio al Cliente llamando
al 1-877-299-1008. (Los usuarios de TTY/TDD deberán llamar al 711). Nuestro horario es de 8 a.m. a 8 p.m., hora local, los 7 días
de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías
alternas (por ejemplo, correo de voz).
Blue Cross Medicare Advantage HMO plan in Montana, HMO and HMO-POS plans in Illinois and New Mexico, and PPO plans in
Illinois, Montana, New Mexico, and Oklahoma are provided by Health Care Service Corporation, a Mutual Legal Reserve Company
(HCSC). Blue Cross Medicare Advantage PPO plans in Texas are provided by HCSC Insurance Services Company (HISC). Blue Cross
Medicare Advantage HMO plans in Texas are provided by GHS Insurance Company (GHS). Blue Cross Medicare Advantage HMO and
HMO-POS plans in Oklahoma are provided by GHS Health Maintenance Organization, Inc. d/b/a BlueLincs HMO (BlueLincs) and by
GHS Managed Health Care Plans, Inc. (GHS-MHC). HCSC, HISC, GHS, GHS-MHC, and BlueLincs are Independent Licensees of the
Blue Cross and Blue Shield Association. HCSC, HISC, GHS, GHS-MHC, and BlueLincs are Medicare Advantage organizations with a
Medicare contract. Enrollment in Blue Cross Medicare Advantage plans depends on contract renewal.