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Office Use Only: Date Stamp Blue Cross Medicare Rx Plus (PDP) Medicare Prescription Drug Plan Individual Short Enrollment Request Form for 2012 Please read the following: n Use this form only if you
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How to fill out blue cross medicarerx plus

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To fill out blue cross medicarerx plus, follow these steps:

01
Start by gathering all necessary information and documentation. This may include your personal details, Medicare card, and any prescription drug plans you currently have.
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Visit the blue cross medicarerx plus website or contact their customer service for the application form. Fill out the form accurately and completely, providing all required information.
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Make sure to review the form before submitting to ensure all information is correct. Double-check names, dates, and any other important details.
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Submit the completed application form either online, via mail, or as instructed by blue cross medicarerx plus. Keep a copy of the application for your records.
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Once enrolled, it is important to review and understand your blue cross medicarerx plus plan. Familiarize yourself with the coverage, prescription drug formulary, network pharmacies, and any associated costs.
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Who needs blue cross medicarerx plus:

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Individuals who are eligible for Medicare Part A and/or Part B coverage.
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People who want the flexibility to switch prescription drug plans or enroll in a new one during Medicare's Annual Enrollment Period.
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Blue Cross MedicareRx Plus is a prescription drug plan for individuals with Medicare.
Individuals with Medicare who want prescription drug coverage.
You can enroll in Blue Cross MedicareRx Plus by contacting the insurance company or enrolling online.
The purpose is to provide prescription drug coverage for individuals with Medicare.
Personal information, prescription drug needs, and other relevant medical information.
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