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

This page may have documents that can’t be read by screen reader software. For help with these documents, please call 1-877-774-8592.

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

    • 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

    • that begins with 770-773 or 775:

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

    English