Medicare Health Insurance Plans : Blue Cross and Blue Shield of Alabama : Notices - Medicare
BlueRx - Notices Overview
Blue Cross and Blue Shield of Alabama, Licensee of the Blue Cross and Blue Shield Association, has a contract with the Centers for Medicare & Medicaid Services (CMS) that is renewed annually, and availability of coverage beyond the end of the current contract year is not guaranteed.
You may only enroll in our BlueRx (PDP) plans during specific times of the year. For more information about enrollment periods, call us toll free at 1-888-627-4715 (TTY 711) 8 a.m. to 8 p.m., 7 days a week. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Calls will be returned on the next business day.
You may be enrolled in only one Part D plan at a time. Medicare beneficiaries who are enrolled in an MA Private Fee-for-Service (PFFS) plan that includes Medicare prescription drugs or any MA coordinated care (HMO or PPO) plan will be automatically disenrolled from the HMO, PPO or MA PFFS plan if they enroll in a Prescription Drug Plan. Medicare beneficiaries enrolled in a PFFS that does not include Medicare prescription drug coverage, an MA Medical Savings Account (MSA) plan or an 1876 Cost plan may enroll in a PDP and will not be automatically disenrolled from the PFFS, MSA or an 1876 Cost plan.
Medicare beneficiaries may also enroll in BlueRx through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
To qualify for enrollment in BlueRx, individuals must be entitled to Medicare Part A and/or enrolled in Part B, and live in the service area. You must continue to pay your Medicare Part B premium. If you request premiums withheld, elect to switch to premium withhold or move from premium withhold to direct bill, it could take up to three months for the change to take effect and you will be held responsible for those premiums.
A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings call 1-888-543-9212.
Every year, Medicare evaluates plans based on a 5-star rating system.
Blue Cross and Blue Shield of Alabama’s pharmacy network includes limited lower-cost, preferred pharmacies in Alabama. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call:
Blue Advantage (PPO) members: call 1-888-234-8266 (TTY 711), 8 a.m. to 8 p.m., seven (7) days a week. From April 1 to September 30, on weekends and holidays, you may be required to leave a message. Calls will be returned the next business day.
BlueRx (PDP) members: call 1-800-327-3998 (TTY 711), 8 a.m. to 8 p.m., seven (7) days a week. From April 1 to September 30, on weekends and holidays, you may be required to leave a message. Calls will be returned the next business day.
or consult the online pharmacy directory here.
You can get prescription drugs shipped to your home through our network mail order delivery programs;AllianceRx Walgreens Prime. You also have the choice to sign up for automated mail order delivery.
For AllianceRx Walgreens Prime, you should typically expect to receive your prescription drugs in five or eight business days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at AllianceRx Walgreens Prime. 1-800-731-3588, TTY: 711, 24 hours a day, 7 days a week website: AllianceRx Walgreens Prime website.
Pharmacies are to obtain consent prior to shipping or delivering any prescriptions that the you did not personally initiate.
This information is not a complete description of benefits. Call 1-800-327-3998 (TTY 711) 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. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. To the extent of any discrepancy between this web site and your Evidence of Coverage/Contract Booklet, your Evidence of Coverage/Contract Booklet takes priority.