Prospective Member: 1-844-331-6334 (TTY: 711) October 1 – March 31 | 8 am – 8 pm EST | 7 days a week
April 1 – September 30 | 8 am – 8 pm EST | Monday – Friday
MyHealth Portal | Provider Resources | FDRS  
  • About Us
  • For Providers
  • For Members
  • Find a Doctor
  • Find a Medication / Pharmacy
  • Health & Wellness
  • Home
  • Our Plans
    • UMHA Complete (HMO)
    • UMHA Dual (HMO-SNP)
  • Brokers
  • About Us
    • News
    • Events
      • Formal Events
      • Informal Events
    • Frequently Asked Questions
    • Contact Us
  • For Providers
  • For Members
    • DualPrime (HMO-SNP)
      • Plan Documents for Members
      • Eligibility Requirements
      • Out of Network Coverage
      • Member Rights and Responsibilities
      • Member Rights and Responsibilities Upon Disenrollment
      • Part C Organization Determinations, Appeals, and Grievances
      • Medicare Part B Prescription Drugs
      • 2023 DualPrime (HMO-SNP)
    • Pharmacy Benefits (Part D Prescription Drug)
      • Formulary Information
      • Transition Policy and Exceptions
      • Part D Coverage Determination, Exceptions, Appeals and Grievances
      • Medication Therapy Management Program (MTMP)
      • Quality Assurance Policy and Procedures
      • Over the Counter Medications and Products
    • Quality Improvement Program (QIP)
    • Pharmacy Forms
    • General Forms
    • Medical Forms
    • Resources
  • Find a Doctor
    • Online Provider Directory
    • Out-of-Network Providers
  • Find a Medication / Pharmacy
    • 2023 Pharmacy Lookup
    • 2023 Prescription / Formulary Lookup
    • Quality Assurance and Utilization Management
    • Medication Therapy Management (MTM) Program
    • Pharmacy Forms
  • Contact Us
  • Legal Disclaimers
    • Terms of Use
    • Part D Appeals and Grievances
    • Part C Appeals and Grievances
    • Quality Assurance
    • Best Available Evidence
    • Fraud and Abuse
    • Privacy Policy
    • Non-Discrimination Policy
    • Disaster & Emergency Policy
    • Interoperability
  • Enroll Now
  • For Agents
  • FDRS
    • Code of Ethical Business Conduct & Compliance
    • Reporting Potential or Actual Fraud, Waste, & Abuse (FWA) or Non-Compliance
    • Required Trainings
    • Sanction, Debarment, & Exclusion Lists
    • Maintenance of Records
    • Annual Attestations of Compliance
    • Relevant Laws
    • Frequently Asked Questions
    • Resources & Tool Kits
    • Contact Us
  • Health & Wellness
    • MyHealth Portal
    • Blood Pressure
    • Cholesterol
    • Diabetes
    • Influenza (Flu)
    • Healthy Rewards Program
      • Health Risk Assessment
      • Annual Wellness Visit
      • Post Hospitalization Physician Visit
      • Breast Cancer Screening / Mammogram
      • Colorectal Cancer Screening
      • Diabetic Screenings
      • Diabetic Retinal Eye Exam
    • COVID-19 Vaccine Information
  • Member Resources
kadikoy escort pendik escort
ankara escort bayan
bodrum escort
huluhub.com
  • Terms of Use
  • Part D Appeals and Grievances
  • Part C Appeals and Grievances
  • Quality Assurance
  • Best Available Evidence
  • Fraud and Abuse
  • Privacy Policy
  • Non-Discrimination Policy
  • Disaster & Emergency Policy
  • Interoperability

Legal Disclaimers

  • CareFirst BlueCross BlueShield Medicare Advantage is an HMO-SNP Plan with a Medicare contract and a State of Maryland Medicaid contract. Enrollment in CareFirst BlueCross BlueShield Medicare Advantage depends upon contract renewal.
  • To be eligible for CareFirst BlueCross BlueShield Medicare Advantage Dual Prime, you must have Medicare Part A and B, and live in Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Cecil, Charles, Dorchester, Harford, Howard, Kent, Montgomery, Prince Georges, Queen Anne’s, or Talbot counties in Maryland. You must continue to pay your Medicare Part B premium. 
  • The CareFirst BlueCross BlueShield Medicare Advantage Dual Prime is available to anyone who has both Medical Assistance from the State and Medicare. For the CareFirst BlueCross BlueShield Medicare Advantage Dual Prime members premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 
  • Medicare evaluates plans based on a 5-star rating system.  Star Ratings are calculated each year and may change from one year to the next.
  • The Formulary, pharmacy network, and/or provider network may change at any time.  You will receive notice when necessary.
  • CareFirst BlueCross BlueShield Medicare Advantage Dual Prime complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
  • About Us
    • News
    • Events
    • Frequently Asked Questions
    • Contact Us
  • Find a Doctor
    • Online Provider Directory
    • Out-of-Network Providers
  • Find a Medication / Pharmacy
    • 2023 Pharmacy Lookup
    • 2023 Prescription / Formulary Lookup
    • Quality Assurance and Utilization Management
    • Medication Therapy Management (MTM) Program
    • Pharmacy Forms
  • Legal Disclaimers
    • Terms of Use
    • Part D Appeals and Grievances
    • Part C Appeals and Grievances
    • Quality Assurance
    • Best Available Evidence
    • Fraud and Abuse
    • Privacy Policy
    • Non-Discrimination Policy
    • Disaster & Emergency Policy
    • Interoperability

Serving Maryland, CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage DSNP, Inc. and CareFirst Advantage, Inc., which are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Admin Login
Y0154_H8854_MA01102_M 2023
Last update : 1/30/2021 10:58:38 PM