Eligibility & Enrollment Periods

Eligibility Requirements

You may enroll in a BlueRx plan if:

• You are entitled to Medicare Part A and enrolled in Medicare Part B due to your age or disability.
• You are a resident of Tennessee or Alabama. (Alabama residents should contact BlueCross BlueShield of Alabama.)
• You are enrolling during one of the designated enrollment periods below.

You may only be enrolled in one Medicare Part prescription drug plan at a time.

If you are enrolled in a Medicare Advantage plan you may enroll in BlueRx if you are enrolled in one of the following types of plans:

• A private fee-for-service plan that does not offer prescription drug coverage.
• A Medial Savings Account plan (MSA).
• An 1876 Cost plan.

Enrollment Periods For Current Medicare Beneficiaries

Annual Coordinated Election Period: Nov. 15 to Dec. 31 

Each year during this time, you can enroll in a standalone Prescription Drug Plan for coverage beginning on Jan. 1 of the following year.

Enrollment Periods For New Medicare Beneficiaries

Initial Coverage Election Period
When you become eligible for Medicare because of your age or a disability, you have seven months to enroll in a Medicare Advantage Plan with or without prescription drug coverage or a stand-alone Medicare Part D Prescription Drug Plan. You may enroll at any time during the month you become eligible and the three months before and after.  If you get Medicare due to a disability, you can join during the three months after your 25^th of disability benefits. If you do not choose to enroll in a plan with prescription drug coverage during this time period, you may have to pay a penalty in the form of a higher premium to enroll later.

Limitations on Enrollment and Plan Changes

Once the Annual Coordinated Election Period or your Initial Coverage Election Period has ended, you may not change your coverage until the next Annual Coordinated Election Period, unless you qualify for a Special Enrollment Period.

Special Enrollment Periods

After you have enrolled in a plan, you may become eligible for a Special Enrollment Period for one of the following reasons:

• You move out of your plan’s service area.
• Your plan does not renew its Medicare contract.
• Your plan’s Medicare Contract ends or it is no longer offered in your area.

See Disenrollment

Please call 1-800-841-7434 (or for the hearing impaired TTY/TDD: 1-888-423-9490) 8 a.m. to 9 p.m. ET seven days a week for more information. From March 2 to September 30, you may be required to leave a message on weekends and holidays. Calls will be returned the next business day.