Only current members can use our online request forms. To complete the form, you will need your member ID number. If you don’t know your member ID number or want to order a pharmacy directory or Evidence of Coverage in large-print or braille format, please call our customer service team. Group MedicareBlue Rx members should contact the group customer service team.

If you aren’t yet a member and are interested in an individual Medicare plan, please contact our Medicare Solutions specialists. If you are interested in a group Medicare plan, please ask your employer group to contact a plan representative.

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