Medicare Resource Center

Find all the resources you need to manage and understand Medicare plans including your rights and responsibilities as a member, what you will pay as a member of a plan, the process for coverage decisions and making appeals, Medicare formulary, and much more.

Evidence of Coverage

Evidence of Coverage Medicare

The Evidence of Coverage booklet tells members how to get their Medicare medical care and prescription drugs (if applicable) through our plan, a Medicare Advantage Plan. The Evidence of Coverage booklet explains member’s rights and responsibilities, what is covered, and what you will pay as a member of the plan. 

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Summary of Benefits/Plan Ratings

Summary of Benefits Plan Ratings

Compare our Medicare Advantage plans and the Original Medicare Plan using the Summary of Benefits.  For each benefit, you can see what our plan covers and what the Original Medicare Plan covers.   View the Plan Ratings for our Medicare Advantage plans to compare our plans’ performance to other plans

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Medicare and HIPAA Forms

older woman on computer

View and download important Medicare and HIPAA forms. 

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Health and Wellness

Health and Wellness Medicare

We are committed to helping our members take an active role in their good health.  Through our Health and Wellness programs and benefits, you can enjoy the advantages of learning from healthcare professionals throughout the area and exclusive member discounts. 

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Exception and Appeals

Exceptions and Appeals

Understand the process for coverage decisions, how to request an appeal, and who to contact with questions related to benefits and coverage for medical services and prescription drugs.

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Prescription Drug Information

Prescription Drug Information Medicare

Our Medicare Advantage plans are offered with or without a prescription drug benefit.   Download the Medicare Formulary and more. 

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BlueCross BlueShield of Western New York is a Medicare Advantage plan with a Medicare contract. Enrollment in BlueCross BlueShield of Western New York depends on contract renewal.

Y0086 H9788_MRK1284 Approved
Content last updated October 1, 2013