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
Effective January 01, 2022, many Group Retiree Solutions (GRS) plans now include the requirement that all hearing aids be supplied by Hearing Care Solutions (HCS).
If you are not an HCS 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:
CarelonRx, Inc. is our pharmacy benefits manager. Please visit their IngenioRx, Inc. page for more information, logins to CoverMyMeds and directions for IngenioRX 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 .
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.
* 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.