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Notices
BlueRx 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.
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 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. 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.
Out-of-network/non-contracted providers are under no obligation to treat BlueRx (PDP) members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
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; PrimeMail Home Delivery Service or Walgreens Mail. You also have the choice to sign up for automated mail order delivery.
For PrimeMail, 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.MyPrime.com.
For Walgreens Mail, you should typically expect to receive your prescription drugs in seven or ten 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
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. Contact the plan 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. 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.
Third Party Website Disclaimer
You are about to leave the Blue Cross and Blue Shield of Alabama Medicare products website to visit one of our social media sites. Although content of our social media sites is maintained by Blue Cross, Blue Cross does not control the security and/or privacy practices of these external social media sites. Therefore, Blue Cross advises users of these sites against sharing any personal health information or any other information the user would otherwise not feel comfortable being made public. Blue Cross shall not be liable for privacy breaches, security incidents or similar events due to the use of social media sites.
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