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2010-175
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Last modified
2/22/2016 12:36:04 PM
Creation date
10/1/2015 2:21:39 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Miscellaneous
Approved Date
07/13/2010
Control Number
2010-175
Agenda Item Number
12.D.2.
Entity Name
Blue Medicare Group PPO
Subject
Retirees Blue Cross Blue Shield
Supplemental fields
SmeadsoftID
9738
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7� 3/1d <br /> ia. D. Z . <br /> Eligibility Requirements Olt) <br /> To be eligible to enroll in the BlueMedicaresm Group PPO plan , eligible retirees <br /> and their eligible dependents must be enrolled in Medicare Part A and Medicare Part <br /> B . If a retiree did not enroll in Medicare Part B , the retiree must contact the Social <br /> Security Administration at 1 -800 - 772 - 1213 for assistance in enrolling in Medicare <br /> Part B . TTY users should call 1 -800 - 325 -0778 . A late enrollment penalty may apply . <br /> r For the BlueMedicaresm Group PPO plan , retirees must reside in the nationwide <br /> service area and not be actively working . <br /> > Medicare eligible dependents of an active group employee may enroll in the <br /> BlueMedicares"^ Group PPO plan . The active employee would need to select the <br /> group ' s commercial plan , and their Medicare eligible dependent can enroll in the <br /> BlueMedicare Group PPO plan . This is considered a " split- contract" . <br /> r The Medicare eligible group retiree and their Medicare eligible dependent must <br /> both enroll in the same BlueMedicaresm Group plan , or both remain on the <br /> commercial plan . <br /> Eligible retirees and dependents may enroll during the group ' s Annual Open <br /> Enrollment Period . Retirees and their dependents may also enroll if they met the <br /> requirements for a Medicare Special Election Period . <br /> Retirees and their dependents may disenroll during the group ' s next Annual <br /> Open Enrollment Period , at the group ' s discretion if returning to the group ' s <br /> commercial plan , or per Medicare guidelines . The employer group will also need to <br /> contact Blue Cross and Blue Shield of Florida . <br /> If a BlueMedicaresm Group member permanently moves out of the plan service <br /> area , the member will need to contact the group and also contact the Centers for <br /> Medicare & Medicaid Services at 1 - 800 -633 -4227 . TTY users should call 1 - 877 -486- <br /> 2048 . <br /> The employer group will also need to contact Blue Cross and Blue Shield of Florida . <br />
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