• How can I enroll in Medicare Blue Rx?
• Enrollment Periods
• What happens after I enroll?

How can I enroll in Medicare Blue Rx?

We offer three easy ways to enroll in Medicare Blue Rx:

1. Enroll online now
2. Phone: Call 1-888-844-3781, Monday - Friday, 8 a.m. - 8 p.m. CST. For the hearing or speech impaired, please call 1-888-844-3792.
3. Mail: Download the enrollment form (PDF), complete and mail in to the address below:

   Medicare Blue Rx
   P.O. Box 2190
   Chester, VA 23831

Enrollment for all Medicare Prescription Drug Plans including Medicare Blue Rx begins November 15, 2007.

If you are currently a Plan 65 Medicare Supplement member with Blue Cross and Blue Shield of Oklahoma, you will have automatically received a Medicare Blue Rx enrollment package in the mail in December.

Not a member? If you'd like us to send you detailed information about Medicare Blue Rx, please request more information online or contact our Customer Service Department at 1-888-844-3781, 8 a.m. - 8 p.m. CST. For the hearing or speech impaired, please call 1-888-844-3792.

Enrollment Periods

If you are eligible for Medicare Prescription Drug coverage, you can enroll during any one of the following three enrollment periods:

• Initial Enrollment Period (IEP) - This is a seven (7) month period consisting of:
  • three (3) months before the month of your 65th birthday
  • the month of your 65th birthday
  • three (3) months after the month of your 65th birthday
  Those who are under age 65 and have a disability may also be eligible to enroll.
• Annual Enrollment Period (AEP) - You can enroll in Medicare Blue Rx between November 15th and December 31st, which is commonly referred to as the Annual Enrollment Period. If you are enrolled in another Medicare Part D plan, you may also switch to Medicare Blue Rx during this period.
• Special Enrollment Period (SEP) - You may also enroll in Medicare Blue Rx outside of the initial or annual enrollment periods under circumstances such as (but not limited to):
  • moving into the service area
  • involuntarily losing creditable coverage
  • becoming dual eligible
  Because documentation is required to enroll during this period, please contact our Customer Service Department, for specific details, at 1-888-844-3781, 8 a.m. - 8 p.m. CST. For the hearing or speech impaired, please call 1-888-844-3792.

If you choose not to enroll during these required time frames, the federal government may impose a late enrollment penalty of 1% per month for every month you delay enrollment. To learn more about the late enrollment penalty, please call our Customer Service Department, for specific details, at 1-888-844-3781, 8 a.m. - 8 p.m. CST. For the hearing or speech impaired, please call 1-888-844-3792.

What happens after I enroll?

Within seven (7) business days of receiving your enrollment, we will send you an acknowledgement letter that identifies your effective date and important identification numbers. Retain this letter for your records. Once your effective date arrives, you may provide your pharmacist with this letter until your ID card arrives in the mail.

All enrollments must be approved by the Centers for Medicare & Medicaid Services (CMS), the federal agency that administers the Medicare program. Once CMS approves your enrollment into Medicare Blue Rx, you will receive a second letter from us, confirming your enrollment. Please note we cannot bill you or send you an identification card until CMS approves your enrollment.

If CMS rejects your enrollment into Medicare Blue Rx, we will advise you within seven (7) business days of having received notification, and bill you for any prescriptions you received through us up to that point.

Alternate formats of this material, including translation, may be available. Please contact Customer Service, at 1-888-844-3781, Monday-Sunday, 8 a.m.- 8 p.m. CST, for additional information. For the hearing or speech impaired, please call 1-888-844-3792.