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Blue Cross and Blue Shield of Georgia Plans and Benefits

PW_E240966
 
2016 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 

MediBluePlus  
SOB  
EOC  
MediBluePrime Select  
SOB  
EOC  
MediBluePlusDual Advantage (DSNP)  
SOB  
EOC  
 
PPO 

MediBlue Access1  
SOB  
EOC  
MediBlue Access2  
SOB  
EOC  
 
PPD 

Blue MedicareRx Standard  
SOB  
EOC  
Blue MedicareRxPlus  
SOB  
EOC  
Blue MedicareRxPremier  
SOB  
EOC  
 
1Bibb, Meriwether, Peach, Toombs, and Twiggs Counties 
2Forsyth, Fulton, Harris, Jones, Liberty, Muscogee, Newton, Rockdale, and TalbotCounties 
© 2018 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.