When you have questions about your benefits, our documents section can help. Explore important plan documents below to learn how to use your benefits, find out what's covered, download forms and more.

The documents on this page are for members of MedicareBlue Rx. If you get your benefits through an employer or union group, visit our group member documents section.

2021 Individual plan and coverage documents

  • 2021 Enrollment guide
    Review 2021 plan details and fill out the enrollment form with our enrollment guide.
  • Enrollment forms
    Enroll in a Medicare Part D plan or make changes to your Medicare coverage.

Mail order, automatic payment and claims documents