Additional Medicare Part D Prescription Drug Information

True Blue®, Secure Blue ^SM and Flexi Blue ^SM are Health plans with a Medicare contract.

To be a member of our Plan, you must live in our service area, be entitled to Medicare Part A, and be enrolled in Medicare Part B.  If you currently pay a premium for Medicare Part A and Medicare Part B, you must continue paying your premium.

True Blue, Secure Blue and Flexi Blue have contracts with the Centers for Medicare and Medicaid Services (CMS), the government agency that runs Medicare.  These contracts renew each year.  At the end of each year, the contracts are reviewed.  Whenever a Medicare health plan leaves the Medicare program or stops serving your area, you will be provided a special enrollment period.

If you obtain routine care from out-of-plan providers, neither Medicare nor True Blue will be responsible for the costs.

A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital is not required to agree to accept the plan’s terms and conditions, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan’s terms and conditions on or Web site at: www.bcidaho.com/providers/Med_Advantage/Flexi_tac.pdf

If you are already enrolled in a Medicare Advantage Prescription Drug (MA-PD) plan you must receive your Medicare Prescription Drug Benefit through that plan.

If you are enrolled in a Medicare Advantage coordinated care (HMO or PPO) plan or a Medicare Private Fee-For-Service (PFFS) plan that includes Medicare Part D prescription drugs, you may not enroll in a Part D Prescription Drug (PDP) plan unless you disenroll from the HMO, PPO or MA-PFFS plan.

If you qualify for extra help with your Medicare Prescription Drug Plan costs, your premium and drug costs will be lower.  When you join a Blue Cross of Idaho Medicare Advantage Plan, Medicare will tell us how much extra help you are getting.  Then, we will let you know the amount you will pay.  If you aren’t getting any extra help, you can see if you qualify by calling: 1-800-MEDICARE (1-800-633-4227.  TTY/TDD users should call 1-877-486-2048, your State Medicaid Office, or the Social Security Administration at 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday – Friday.  TTY/TDD users should call 1-800-325-0778.

H5862 MK 08217 (03/08)