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Dear Prospective Member:
Thank you for your interest in one of our Medicare Advantage plans. According to the Centers for
Medicare and Medicaid Services (CMS), our Medicare HMO and Medicare PPO plans are highly rated,
and we achieved 5 out of 5 Stars in Customer Service for the 5th year in a row.
1
Medicare HMO Medicare PPO
5 out of 5 Stars 4 out of 5 Stars
Overall Plan Rating Overall Plan Rating
We offer a wide variety of health care coverage that takes both your needs and your budget
into consideration. These plans may include more benefits than Original Medicare, such as:
• Coverage for Part D prescription drugs
• Routine dental, vision, and hearing services
• Up to $300 toward qualified fitness and weight-loss programs
• And more
How do I enroll?
Online By phone By mail By fax
Visit 1-800-678-2265 Complete the Complete the
bluecrossma.com/ (TTY: 711), enclosed enrollment enclosed enrollment
medicare 10/1–2/14, every day form and mail in form and fax to
8:00 a.m. to 8:00 p.m. the self-addressed 1-617-246-8506.
envelope.
2/15–9/30,
Monday–Friday,
8:00 a.m. to 6:00 p.m.
continued
101 Huntington Avenue, Suite 1300 | Boston, MA 02199-7611 | www.bluecrossma.com
Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association