About Us

MedicareBlue Rx for Individual Members for Group Members

Coverage is available to residents of the service area and separately issued by one of the following plans:

  • Wellmark Blue Cross and Blue Shield of Iowa,*
  • Blue Cross and Blue Shield of Minnesota,*
  • Blue Cross and Blue Shield of Montana,*
  • Blue Cross and Blue Shield of Nebraska,*
  • Blue Cross Blue Shield of North Dakota,*
  • Wellmark Blue Cross and Blue Shield of South Dakota,*
  • Blue Cross Blue Shield of Wyoming.*

*Independent licensees of the Blue Cross and Blue Shield Association.

Medicare beneficiaries may enroll in MedicareBlue Rx through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact:

  • MedicareBlue Rx
  • toll-free at 1-866-434-2037
  • daily, 8 a.m. to 8 p.m. Central and Mountain Times.
  • TTY users call 711

Find out if you qualify for extra help.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help call:

  • MedicareBlue Rx Customer Service, or
  • 1-800-MEDICARE (1-800-633-4227). TTY users call 1-877-486-2048, 24 hours a day/7 days a week or
  • The Social Security Office at 1-800-722-1213 between 7 a.m. and 7 p.m., Monday through Friday.
  • TTY users call 1-800-325-0778, or
  • Your State Medicaid Office

About using contracted network pharmacies.

MedicareBlue Rx members must use contracted network pharmacies to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use network pharmacies. Members who use pharmacies outside the network will pay any difference in the non-network pharmacy’s charge and the plan’s allowable charge. Types of network pharmacies include: retail, mail order, long-term care, and Indian/Tribal/Urban.

For more information about mail-order service contact:

  • MedicareBlue Rx
  • 1-866-434-2037 8 a.m. to 8 p.m., daily, Central and Mountain Times.
  • TTY users should call 711

The pharmacies in our network can change at any time. To obtain additional network pharmacy information call:

  • MedicareBlue Rx
  • 1-866-434-2037 8 a.m. to 8 p.m., daily, Central and Mountain Times.
  • TTY users call 711
  • Or send a request in writing to MedicareBlue Rx, 4301 Cambridge Road, TX 76155.

Other information.

Members may enroll in MedicareBlue Rx only during specific times of the year. For more information about enrollment periods, please contact MedicareBlue Rx Customer Service.

MedicareBlue Rx’s contract with CMS is renewed annually, so enrollment in MedicareBlue Rx after 2017 cannot be guaranteed.

If you have special needs, this document is available in alternative formats. Please call Customer Service at the phone numbers listed below for more information.

MedicareBlue Rx

MedicareBlueRx is a prescription drug plan with a Medicare contract. Enrollment in MedicareBlue Rx depends on contract renewal. You are eligible to enroll in MedicareBlue Rx if you are entitled to Medicare benefits under Part A or enrolled in Medicare Part B and live in the plan service area. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You may be enrolled in only one Part D plan at a time. If you are enrolled in a Medicare Advantage (MA) coordinated care (HMO or PPO) plan or an MA private fee-for-service (PFFS) plan that includes Medicare prescription drugs, you may not enroll in a prescription drug plan unless you disenroll from the HMO, PPO or MA PFFS plan. You may enroll in a prescription drug plan if you are a member of a PFFS plan that does not provide Medicare prescription drug coverage, or a MA Medicare Savings Account (MSA) plan, or an 1876 Cost Plan.

Rights and responsibilities upon disenrollment | go back

When you leave or end your membership in MedicareBlue Rx it’s called a disenrollment. A voluntary disenrollment is when you decide to leave the plan. You can do this only at certain times of the year, such as if you want to change to another plan during the annual enrollment period. An involuntary disenrollment is when the plan must end your membership. Examples of this type of disenrollment are if you leave the plan’s service area for longer than 12 months or permanently move out of the service area, or do not pay the plan’s premiums.

If you are disenrolled for any reason, the plan will notify you of the date your membership will end and the reason for it ending. If you have questions about disenrollment, please call Customer Service at the number below.

MedicareBlue Rx Customer Service:

For members: 1-888-832-0075, daily, 8 a.m. to 8 p.m. Central and Mountain Times. TTY hearing impaired users call 711.

For prospective members: 1-866-434-2037, daily 8 a.m. to 8 p.m. Central and Mountain Times. TTY hearing impaired users call 711.

Group MedicareBlue Rx page top | go back

Group MedicareBlue Rx

Group MedicareBlue Rx is a prescription drug plan with a Medicare contract. Enrollment in Group MedicareBlue Rx depends on contract renewal. You are eligible to enroll in Group MedicareBlue Rx if you are entitled to Medicare benefits under Part A or enrolled in Medicare Part B and live in the plan service area. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You may be enrolled in only one Part D plan at a time. If you are enrolled in a Medicare Advantage plan, you may not join Group MedicareBlue Rx unless you are a member of a Private-Fee-For-Service MA plan (PFFS) that does not provide Medicare prescription drug coverage, a Medicare Savings Account MA plan (MSA), or an 1876 Cost Plan.

Group MedicareBlue Rx Customer Service: 1-877-838-3827, daily, 8 a.m. to 8 p.m. Central and Mountain Times. TTY hearing impaired users call 711.

Coverage is available to members of an employer or union group and separately issued by one of the following plans:

  • Wellmark Blue Cross and Blue Shield of Iowa,*
  • Blue Cross and Blue Shield of Minnesota,*
  • Blue Cross and Blue Shield of Montana,*
  • Blue Cross and Blue Shield of Nebraska,*
  • Blue Cross Blue Shield of North Dakota,*
  • Wellmark Blue Cross and Blue Shield of South Dakota,*
  • Blue Cross Blue Shield of Wyoming.*

*Independent licensees of the Blue Cross and Blue Shield Association.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, customer service at the numbers listed below.

If you have special needs, this document is available in alternative formats. Please call Customer Service at the phone numbers listed below for more information.

  • MedicareBlue Rx Customer Service, or
  • 1-800-MEDICARE (1-800-633-4227)
  • TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; or
  • The Social Security Office at 1-800-722-1213 between 7 a.m. and 7 p.m., Monday through Friday.
    TTY users call 1-800-325-0778; or
  • Your State Medicaid Office.

Group MedicareBlue Rx members must use contracted network pharmacies to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use network pharmacies. Members who use pharmacies outside the network will pay any difference in the non-network pharmacy's charge and the plan's allowable charge.

Types of network pharmacies include: retail, mail order, long-term care, and Indian/Tribal/Urban. For more information about mail-order service or to obtain additional network pharmacy information call Customer Service Or send a request in writing to Group MedicareBlue Rx Customer Service, P.O. Box 3178, Scranton, PA 18505.

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