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Important Legal Information and Disclaimers

Blue Medicare HMO, Blue Medicare PPO, and Blue Medicare Rx (PDP) Members

Policies and Procedures

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Policies, Procedures, Privacy and Legal

Member Rights and Responsibilities

Prior Approval and Quantity Limits

60 Day Notice of Formulary Changes

Blue Medicare Medical HMO Medical Appeals and Grievances

Blue Medicare PPO Medical Appeals and Grievances

Appeals and Grievance Procedures for Prescription Drugs

Transition Process for Prescription Drugs

Coverage Determination for Prescription Drugs

Quality Assurance

Notice of Possible Contract Termination

Out of Network Coverage for Prescription Drugs

Prescription by Mail

Important Legal Information and Disclaimers

The information on this page is current as of 10/1/2016.

Y0079_7520 CMS 10042016