Benefits and Pharmacy

We offer a variety of Medicare benefits to support member needs. Summaries of Benefits, Comprehensive Formularies, and Evidence of Coverage documents will be added here as available.

Benefits and pharmacy updates

GRS Hearing Aid Coverage Update

Most Group Retiree Solutions (GRS) plans now include the requirement that all hearing aids must be supplied by our hearing aid vendor.

Effective January 01, 2026 the name of that vendor will change from Hearing Care Solutions to TruHearing.

If you are not a TruHearing provider and are going to fit a patient for a hearing aid, first verify the member’s out-of-network benefits, and then follow the protocol outlined in the following document: 
 

Pharmacy

CarelonRx, Inc.  is our pharmacy benefits manager. Please visit their CarelonRx, Inc.  page for more information, logins to CoverMyMeds and directions for CarelonRX Home Deliver and Specialty Pharmacies.

We provide all clinical criterial documents for injectables, infused or implanted prescription drugs, and therapies covered under our members’ medical benefit on our Clinical Pharmacy Criteria microsite .

Benefits partners*

We work with several partners to provide our members with quality health care. For information about these partners and the services they provide, please visit their websites below.

Vision services

Dental services

Related Information

* Ingenio Rx, Inc. is an independent company providing pharmacy benefit management services on behalf of Blue Medicare Advantage. Benefits Partners is an independent company providing benefit services on behalf of Blue Medicare Advantage. EyeMed is an independent company providing vision care services on behalf of Blue Medicare Advantage. Liberty Dental is an independent company providing dental care services on behalf of Blue Medicare Advantage.

Provider tools & resources

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We look forward to working with you to provide quality service for our members.