Blue Advantage Notices

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. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. You will receive notice when necessary.

You may only enroll in our Blue Advantage (PPO) 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 February 15 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 (PDP). 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 Blue Advantage through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

To qualify for enrollment in Blue Advantage, individuals must have both Medicare Part A and 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.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. 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.

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.

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and my change from one year to the next.

You can get prescription drugs shipped to your home through our network mail order delivery programs; Prime Mail Home Delivery Service or Walgreens Mail. You also have the choice to sign up for automated mail order delivery.

For Prime Mail, 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 Prime Mail. 1-800-731-3588, TTY: 711, 24 hours a day, 7 days a week website: www.MyPrimeMail.com.

For Walgreens Mail, you should typically expect to receive your prescription drugs in seven or 10 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 1-800-489-2197 and TTY: 1-800-573-1833. website: www.WalgreensMail.com.