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2013 Blue Cross and Blue Shield of Georgia HMO Plans and Benefits

PW_E191947
 
2013 Medicare Advantage Summary of Benefits (SOB), Evidence of Coverage (EOC) and Formularies for Individual Medicare Advantage Products. If the product you are searching for is not on the list below, then please call the number on the back of the member’s ID card for EOC, SOB, and Formulary information.  
HMO  

BlueValue Secure  
SOB  
EOC  
BlueValue Basic  
SOB  
EOC  
PPO  

Medicare Preferred Core  
SOB  
EOC  
Medicare Preferred Premier  
SOB  
EOC  
Medicare Preferred Standard  
SOB  
EOC  
PPD Only  

Blue Cross MedicareRx Standard (PDP)  
SOB  
EOC  
Blue Cross MedicareRx Plus (PDP)  
SOB  
EOC  
Blue Cross MedicareRx Gold (PDP)  
SOB  
EOC  
Additional Part D Forms 
 
© 2014 BlueCross BlueShield of Georgia
Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.