Cómo usar su cobertura Medicare

Using Your Blue Cross MedicareRx℠ Plan

Queremos que aproveche al máximo su cobertura nueva. En esta sección, encontrará recursos que le ayudarán a comenzar, aprovechar al máximo sus beneficios, usar recursos en línea, aprender acerca de las reclamaciones y mucho más. 

Llámenos antes de llamar a Medicare. Because Blue Cross MedicareRx is your Medicare plan, you should call us with all your questions. Our Customer Service team will let you know if your question can be answered by Medicare. Llame a Servicio al Cliente al número que figura en su tarjeta de asegurado. 

Bienvenido a su cobertura

• Enrollment Confirmation: Before you can start using your plan, Medicare must approve your enrollment. This will take about 10 business days. You’ll get an acknowledgment letter and a confirmation letter once approved. A continuación, le enviaremos su tarjeta de asegurado.
• Welcome Kit: Includes your plan’s drug formulary, the Evidence of Coverage form and other helpful information. Learn more about the Welcome Kit.

Cobertura de medicamentos con receta

• Drug Formulary and Pharmacy Search: You will have online access to a Drug Formulary, which is a list of drugs that are covered. You can share the formulary with your doctor and talk about the drugs you take now. Más información sobre drug formulary and pharmacy search.
• Prior Authorization: Also, learn about how drugs are placed into tiers based on cost, prior authorization, quantity limits and more. Más información sobre autorización previa.
• Drug Plan Transition: If you’re new to our plan, find out how to get a limited supply of your medication that isn’t covered Learn more about drug plan transition.
• Medication Therapy Management: Find out if the drug you take is safe, works well and fits your lifestyle at no additional cost to eligible members. Más información sobre medication therapy management.
• Medicare Prescription Payment Plan: This program can offer help with managing your out-of-pocket costs. Averigüe más acerca de la Pago de medicamento con receta de Medicare.

Aviso anual de cambios

• You will get your Annual Notice of Change in October. This will tell you what changes will be made to your plan for the next year, starting January 1st. It will outline any expected premium or benefit changes.

How to Address Issues and Problems

• If you have issues or problems with your Medicare plan or the care you receive, you have the right to make a complaint. You can address any Medicare coverage difficulties and concerns you may have via a complaint process.  
• For complaints about your Medicare plan related to prescription drugs:  
  Go to Medicare Coverage Determination, Appeals, and Grievances. 
• If you would like to submit feedback directly to Medicare, you have two options: 
  • Use the Medicare Complaint Form  
  • Contact the Office of the Medicare Ombudsman