Medicare Forms and Documents

Here you can find all the forms and documents related to your Blue Cross Blue Shield of Michigan or Blue Care Network Medicare plan.

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Plan Information: Medicare Advantage; Medicare Supplement; Part D Prescription; Employer-Sponsored Medicare

New and Current Members: Choose a Medicare Plan; Get a Quote; Eligibility and Enrollment; Register Your Online Account; Continue an Application

Resources and Tools: Contact Us; Request a Callback; Find Care; Medicare 101; Get Medicare Help; Medicare Member Resources; Medicare Forms and Documents

Important Information: Important Medicare Plan Notices; Legal and Privacy; About ACA Plans; Medicare Prior Authorization; Online Privacy Practices; Machine-Readable Files; Nondiscrimination Notice; Code of Conduct; Stop Fraud

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Medicare Forms and Documents

Popular forms and documents

Drug lists

Enrollment forms

Prescription mail order forms

Flu and Pneumonia Shot Reimbursement Form (PDF)

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Drug lists

Enrollment forms

Evidence of coverage

Managing your account

Medicare summary of benefits and ratings

Pharmacy

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