Using Your Medicare Plan
If you choose a Medicare Advantage plan from Blue Cross and Blue Shield of Texas, we’ll make sure you have the right resources to help you get the most from your plan. Understanding how it works and having the right resources can help. This section details how to find out what’s covered in the plan, how to file an appeal or grievance, download the formulary, search for a pharmacy, and more.
Is It Covered
It’s easy to ask questions or voice concerns about Medicare Advantage coverage. If you have questions about what the plan covers, you can:
- Check the Evidence of Coverage – This important notice is in the Welcome Kit we mail you shortly after you enroll. It details what the plan covers, how much you pay, and more. You can also find it on the Plan Documents page.
- Call customer service, and a representative can help you understand the plan benefits.
Medical Care Appeals and Grievances
Drug Coverage, Appeals and Grievances
Medicare Organization/Coverage Determination, Appeals and Grievances
Blue Cross Medicare Advantage Plans have processes in place to address Medicare coverage issues, complaints and problems. If you have issues, complaints or problems with your Medicare plan or the care you receive, you have the right to make a complaint. You can find more information on the Medical Care Appeals and Grievances page and on the Drug Coverage, Appeals and Grievances page.