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Find the documents you need to help you manage your Medicare Advantage prescription drug offered by Blue Cross and Blue Shield of Texas.
2021 Annual Notice of Change Dual Care Plus (HMO SNP) English | español
2021 Evidence of Coverage Dual Care Plus (HMO SNP) English | español
2021 Summary of Benefits Dual Care Plus (DSNP) English | español
2021 Enrollment Form Dual Care Plus (HMO SNP) English | español
2021 Plan Star Rating - Plan too new to be measured
2021 Drug Formulary Dual Care Plus (HMO SNP) English | español
2021 Pharmacy Directory English | español
2021 Find a Doctor or Hospital English | español
2021 Low Income Premium Subsidy (HMO SNP) English | español
2021 Prescription Drug Transition Policy (HMO SNP) English | español
2021 Prescription Drug Coverage Determination Request Form (HMO SNP) English | español
2021 Online Coverage Determination Request Form
2021 Prescription Drug Coverage Redetermination Request Form (HMO SNP) English | español
2021 Online Coverage Redetermination Request Form
2021 Automated Premium Payment (ACH) Form (DSNP)
Last Updated: 12312020
Y0096_WEBTXMM21
Last Updated: 12312020
Y0096_WEBTXMM21