Your plan name

This is the plan you chose when you signed up for a Medicare plan.

Your name

Check to make sure it is spelled correctly.

Member ID number

Your doctor and other providers use this number when filing claims for services they provided to you.

Your PCP

For most plans, you must have a primary care provider listed with us because they are critical to your care. Your PCP is the center of your care and will provide referrals for tests and visits to specialists.

Don’t see a PCP listed on your card?

• If you have a doctor you see regularly, call the Medicare Concierge Team and tell them.
• If you don’t have a regular doctor, or PCP, use find a doctor.

Pharmacy coverage information

Pharmacies will use this information when you get a prescription filled.

CMS number

This number is used by the Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicare. It refers to your specific plan, such as BlueCHiP for Medicare Plus or BlueCHiP for Medicare Advance.

Copays

These are specific dollar amounts you pay when you receive these services. Example: A doctor might charge $100 for a visit. If you have a $20 copay, you would pay the doctor $20 and your insurance would pay the doctor $80.

Date issued

Please note that this is not the same as the date your coverage begins. If you are uncertain when your coverage begins, you can call our Medicare Concierge Team.

Type of plan

You will see HMO, POS, or PPO listed here. That refers to the type of network your plan uses. HMO offers a coordinated network with no out-of-network coverage, except for emergencies. POS offers out-of-network coverage on most benefits. PPO offers a choice of doctors and hospitals nationwide with no referrals required.

Drug coverage

If you have prescription drug coverage through us, you will see this symbol on your card.

Dental coverage

If you have dental coverage through us, you will see this symbol on your card.