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Medicare & You

2008

Medicare &
You

PUBLICATION
CONTENTS:

Introduction

What Is
Medicare?

Medicare's
Gaps

Medicare
Part A Gaps

Medicare
Part B Gaps

Who Pays
First

Making A
Wise Choice

Preferred
Providers

Submitting
Claims

Prescription
Drugs

Medicare
Advantage

Preventive
Care

FEP BlueVision

Discount Drug
Program

Vision Care
Affinity
Program

Blue Health
Connection

Fraud And
Abuse

Terms And
Definitions

If You Have
Questions

Who To Contact If You Have Questions

Whenever you have a question about your Blue Cross and Blue Shield Service Benefit Plan coverage, please write or call us for assistance. Please have your Service Benefit Plan ID number (beginning with "R") handy when you call.

About Your Benefits And Coverage

• Questions concerning benefits under your coverage or a claim should be directed to your local Blue Cross and Blue Shield Plan. The telephone number for the local Plan is indicated on the back of your ID card. The telephone number for precertification is also on the back of your ID card. You can also contact your local Plan online under the Customer eService feature on this web site.

• Questions about prescriptions purchased at retail or Internet pharmacies should be directed to our Retail Pharmacy Program. The address is:

Service Benefit Plan
Retail Pharmacy
Program
P.O. Box 52057
Phoenix, AZ 85072-2057

The customer service telephone number is 1.800.624.5060 and for hearing-impaired members, 1.800.624.5077 (TTY).

• Questions about prescriptions ordered through the Standard Option mail service pharmacy should be directed to the Mail Service Prescription Drug Program. Customer service representatives are available at 1.800.262.7890 to answer your questions. Or, you can write to the pharmacy at:

Medco
P.O. Box 30496
Tampa, FL 33630-3496

They also have a TTY line for the hearing impaired, 1.800.216.5343.

• If you are traveling outside the US and need help locating a provider, you can call our Overseas Assistance Center toll-free in the US, Puerto Rico and the Virgin Islands at 1.800.699.4337. Outside of these areas, please call us at 1.804.673.1678 collect. If you need claims or benefit information about overseas health care services, you can call us toll-free from outside the US at 1.888.999.9862 using the appropriate country codes. In the US, please call us at 1.202.484.1650 to speak to a customer service representative.

Online Assistance And Information

Need information about your health insurance coverage in a hurry? Visit our Homepage for:

• A copy of the 2008 Blue Cross and Blue Shield Service Benefit Plan brochure. In addition, other benefit information is available, such as a benefits at-a-glance and benefits when you travel or live overseas in our Benefits section.

• Change your address and order duplicate ID cards under the Customer eService feature.

• Recent issues of our Newsletter.

• Under Standard Option only, check the status of the prescription you sent to the mail service pharmacy and order refills of prescriptions under Pharmacy Programs.

• Access hospital quality and costs for a course of treatment under the Provider Directory.

Contact Medicare If You Have Questions

You can call Medicare at 1.800.633.4227, 24 hours a day, seven days a week, to get help with Medicare benefit information.

There is also a TTY/TDD line for the hearing impaired: 1.877.486.2048. You can also call this number anytime for assistance.

Medicare also has a web site at www.medicare.gov. On this web site, you can:

• Get benefit information for all parts of Medicare

• Search for Medicare participating physicians, suppliers, nursing homes and other professional providers in your area

• Order a replacement Medicare ID card

• Change your address for Medicare

• Request Medicare publications

• Look up helpful contacts and web page links

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