Medicare Advantage Dual Care Plan Documents
Find the documents you need to help you manage your Medicare Advantage prescription drug offered by Blue Cross and Blue Shield of Texas.
-
Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)SM
2020 Evidence of Coverage Dual Care Plus (HMO SNP) English | español
2020 Summary of Benefits Dual Care Plus (DSNP) English | español
2020 Enrollment Form Dual Care Plus (HMO SNP) English | español
2020 Dual Care Plus Plan Star Rating (HMO SNP) English | español
2020 Drug Formulary Dual Care Plus (HMO SNP) English | español
2020 Pharmacy Directory English | español
2020 Find a Doctor or Hospital English | español
2020 Low Income Premium Subsidy (HMO SNP) English | español
2020 Prescription Drug Transition Policy (HMO SNP) English | español
2020 Prescription Drug Coverage Determination Request Form (HMO SNP) English | español
2020 Online Coverage Determination Request Form
2020 Prescription Drug Coverage Redetermination Request Form (HMO SNP) English | español
2020 Online Coverage Redetermination Request Form
2020 Automated Premium Payment (ACH) Form (DSNP)
Last Updated: 06052020
Y0096_WEBTXMM20
Last Updated: 09302019
Y0096_WEB_TX_MM20