Blue Medicare Supplement InsuranceSM Plan Documents | Blue Cross and Blue Shield of Texas

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Medicare Supplement Insurance Plan Documents

Find the documents you need to manage your Medicare Supplement Insurance Plan offered by Blue Cross and Blue Shield of Texas.

  • Outline of Coverage and Application

    If you live in a zip code:

    • that begins with 733, 754-759, 763-769, 778-792, 795-799 or 885:

    Medicare Supplement Insurance Plan Outline of Coverage and Application for Standard Plans

    English | español

    • that begins with 750-753, 760-762, 774, 776-777 or 793-794:

    Medicare Supplement Insurance Plan Outline of Coverage and Application for Standard Plans

    English | español

    • that begins with 770-773 or 775:

    Medicare Supplement Insurance Plan Outline of Coverage and Application for Standard Plans

    English  | español