(888) 579-9373
For hearing or
speech impaired:
(888) 579-9375
8 a.m. - 8 p.m. CST
Fill out our safe, secure online form.
* By clicking this link, you will leave the Blue MedicareRx Web site.
Indicates a file in portable document format (PDF). To view this file, you may need to install Adobe® Reader®*.
The latest version of Adobe Reader has built-in screen reader capability. Other accessibility tools and information can be downloaded at http://access.adobe.com*. If your screen reader cannot read these PDFs, download the latest version of Adobe Reader*, with built-in screen reader capability. Other accessibility tools and information can be downloaded at http://access.adobe.com*.
Last updated 11/15/07 - S5715_WEB_TX_WebsiteJ
SM Service Mark of the Blue Cross and Blue Shield Association,
an Association of Independent Blue Cross and Blue Shield Plans.
® Registered Service Marks of the Blue Cross and Blue Shield Association,
an Association of Independent Blue Cross and Blue Shield Plans.
Blue Cross and Blue Shield of Texas refers to HCSC Insurance Services Company, which is a wholly owned subsidiary of Health Care Service Corporation, a Mutual Legal Reserve Company. These companies are independent licensees of the Blue Cross and Blue Shield Association and offer or provide services for Medicare Part D products under HCSC Insurance Services Company's contract S5715 with the Centers for Medicare and Medicaid Services.
Print this page