Using Your Medicare Plan

Using Your Blue Cross MedicareRx℠ Plan

We want you to get the most from your new plan. In this section, you’ll find resources to help you get started, maximize your benefits, use online tools, learn about claims and more. 

Call us before calling 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. Call the customer service number on your member ID card. 

Welcome To Your Plan

• 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. Your member ID card will be mailed next.
• Welcome Kit: Includes your plan’s drug formulary, the Evidence of Coverage form and other helpful information. Learn more about the Welcome Kit.

Prescription Drug Coverage

• 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.  Learn more about 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. Learn more about prior authorization.
• 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. Learn more about medication therapy management.
• Medicare Prescription Payment Plan: This program can offer help with managing your out-of-pocket costs. Learn more about the Medicare Prescription Payment Plan.

Annual Notice of Change

• 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:  
  Visit the Medicare Coverage Determination, Appeals, and Grievances page.. 
• 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