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After You Enroll

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Look for These Communications:

Acknowledgment Letter


We will send you a letter within 10 days of receiving your enrollment form.


Verification Letter


You will receive a letter from us within 10 days of your enrollment. The letter will contain several questions to verify your enrollment and if you understand your plan choice.


Confirmation Letter/ID Card


After your enrollment has been approved, we'll send you a confirmation letter with the date your coverage will be effective. You will receive your Blue Cross Medicare AdvantageSM ID card after you receive the confirmation letter.


Welcome Kit


About two weeks after you get your ID card, you'll receive your Welcome Kit. It includes your Evidence of Coverage. It tells you what you need to know about being a member of Blue Cross Medicare Advantage.

FIND A PROVIDER

Working with your provider can help you stay healthy. Make an appointment for your Annual Wellness Visit once your coverage is active.

Need help finding other providers? Search for providers and hospitals in your plan's network.

SCHEDULE YOUR ANNUAL WELLNESS VISIT

Remember to print out this Annual Wellness Checklist and bring it with you to your visit. It’s a great tool to talk through with your provider.

GET REWARDED

Sign up for our Rewards & Incentives Program* today to start earning $25 gift cards for completing easy Healthy Actions like scheduling your Annual Wellness Visit.

Already signed up? No need to sign up again – you’ll get your rewards as usual.

*Registration is required to participate. Maximum of $100 in gift card rewards yearly. Each Healthy Action will earn you a $25 award. One reward per Healthy Action per year. The Healthy Activity Portal is a website owned and operated by HealthMine, Inc., an independent company that provides digital health and personal clinical engagement tools and services for Blue Cross and Blue Shield of Texas.

Prescription drugs are a vital part of your health care coverage. With your prescription drug coverage through Blue Cross and Blue Shield of Texas, we can help you and your doctor get the most from your prescription drug coverage.

Your Protections in this Plan

Blue Cross Medicare Advantage agrees to stay in the program for a full year at a time. Each year, the plan decides whether to carry on for another year. Even if Blue Cross Medicare Advantage leaves the program, you will not lose Medicare coverage.

Guidelines for Disenrollment

Disenrollment from Blue Cross Medicare Advantage means ending your membership. Disenrollment can be voluntary or involuntary. We are not allowed to ask you to leave the plan because of your health.


Voluntary Disenrollment

You may end your membership in our plan only during certain times of the year, known as enrollment periods. All members have the opportunity to leave the plan during the Annual Enrollment Period. In certain situations, you may also be eligible to leave the plan at other times of the year. Refer to your Evidence of Coverage for more information.


To voluntarily disenroll:

  • You must choose to leave the plan.
  • You must provide a signed written notice to Blue Cross Medicare Advantage (or, if enrolled through your employer group, the employer group must provide Blue Cross Medicare Advantage with the request to disenroll you).
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. If you are hearing or speech impaired, please call 1-877-486-2048.


Involuntary Disenrollment

Blue Cross and Blue Shield of Texas (BCBSTX) must disenroll an individual from Blue Cross Medicare Advantage in the following cases:

  • The individual moves out of the plan's service area and becomes ineligible to be an enrollee of Blue Cross Medicare Advantage.
  • The individual loses entitlement to Medicare.
  • The individual dies.
  • The individual fails to pay any premiums or late enrollment penalty.
  • The individual enrolls in a different Medicare Advantage, Medicare Advantage Prescription Drug Plan, or stand-alone Medicare Prescription Drug Plan.
  • The Blue Cross Medicare Advantage contract is terminated or Blue Cross and Blue Shield of Texas discontinues offering Blue Cross Medicare Advantage in any portion of the area where it had previously been available.
  • The individual intentionally misrepresents information to Blue Cross and Blue Shield of Texas regarding reimbursement for third-party coverage.