Are You Eligible?
You may enroll in a BlueAdvantage PFFS medical only plan if:
- You are enrolled in Medicare Part A and Part B due to your age or disability.
- You are a resident of Tennessee.
- You are enrolling during one of the enrollment periods.
- You are not medically determined to have chronic end-stage renal disease (ESRD) on the date you sign your enrollment form. ESRD is when the kidneys are permanently and irreversibly damaged requiring regular dialysis or transplantation.
If you have ESRD, you may be eligible if one of the following applies:
- You are currently a non-Medicare member of a BlueCross BlueShield of Tennessee health plan.
- You are affected by the termination, non-renewal or service area reduction of your current Medicare Advantage plan.
- You have had a successful kidney transplant and no longer require dialysis.
- You started dialysis treatments for ESRD, but recovered original kidney function and no longer require dialysis.
If you develop a kidney disease after you enroll, you cannot be asked to leave or be disenrolled for any health-related reason. However if you develop ESRD while on a BlueAdvantage plan, you are not eligible to enroll in another Medicare Advantage plan with a different company.