MEDICARE ADVANTAGE PLANS

Eligibility and Enrollment

Find out if you qualify for a Blue Cross Medicare Advantage Plan and when you can enroll.

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Am I Eligible?

Are you already enrolled in Medicare Parts A and B and live in one of the counties below? You’re eligible for a Medicare Advantage plan from Blue Cross Blue Shield of Oklahoma. 

  • HMO plans are available in the following counties: Blaine, Bryan, Canadian, Carter, Cherokee, Cleveland, Creek, Custer, Garfield, Garvin, Grady, Hughes, Johnston, Kay, Kingfisher, Lincoln, Logan, Love, Marshall, Mayes, McClain, McIntosh, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Pawnee, Payne, Pittsburg, Pontotoc, Pottawatomie, Seminole, Tulsa and Washington.
  • PPO plans are available in the following counties: Adair, Alfalfa, Atoka, Blaine, Bryan, Caddo, Canadian, Carter, Cherokee, Cleveland, Coal, Comanche, Cotton, Craig, Creek, Custer, Dewey, Garfield, Garvin, Grady, Grant, Greer, Harmon, Hughes, Jackson, Jefferson, Johnston, Kay, Kingfisher, Kiowa, Lincoln, Logan, Love, Major, Marshall, Mayes, McClain, McIntosh, Murray, Muskogee, Noble, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Pawnee, Payne, Pittsburg, Pontotoc, Pottawatomie, Pushmataha, Rogers, Seminole, Stephens, Tillman, Tulsa, Wagoner and Washington.

Plan Star Ratings 

Each year, the Centers for Medicare & Medicaid Services (CMS) evaluates Medicare plans based on a 5-star rating system. The highest score a plan can receive is 5 stars. More stars mean better performance and quality. 

Learn more about star ratings.

These plans have a 3.0 2024 Plan Star Rating:

  • Blue Cross Medicare Advantage Classic (PPO)℠
  • Blue Cross Medicare Advantage Flex (PPO)℠ 
  • Blue Cross Medicare Advantage Protect (PPO)℠ 
  • Blue Cross Medicare Advantage Dental Premier (PPO)℠

These plans have a 4.0 2024 Plan Star Rating:

  • Blue Cross Medicare Advantage Basic (HMO)℠

Frequently Asked Questions

When Can I Enroll?

Enrollment periods are time frames when you can enroll in a Medicare plan. There are four enrollment periods for Blue Cross Medicare Advantage plans.

Initial Enrollment Period

When you first become eligible for Medicare, you can join during this seven-month period:

  • It starts three months before the month you turn 65
  • It includes the month you turned 65
  • It ends three months after the month your turned 65

Annual Enrollment Period

Anyone can join, switch or drop a Medicare Advantage plan or a Medicare Advantage Prescription Drug (MAPD) plan between October 15 and December 7. If you apply for a plan during this time, coverage begins on January 1.

Open Enrollment Period

The Medicare Advantage Open Enrollment Period is January 1 through March 31 each year. During Open Enrollment:

  • Enrollees (those who are already enrolled in a Medicare Advantage plan) can pick a different Medicare Advantage plan or switch to Original Medicare. You may only make one election, or plan change.
  • New Medicare beneficiaries (those who enrolled in a Medicare Advantage plan during the first three months that they were eligible – the three months before turning 65) can make a plan change. In this case the Open Enrollment occurs from the month of eligibility to Part A and Part B through the last day of the third month of eligibility.

Special Enrollment Period

In most cases, you must stay enrolled in the plan for the calendar year when your coverage began. But, when certain events happen in your life, you may be able to join, switch or drop a Medicare Advantage plan and a Medicare prescription drug plan and return to Original Medicare. This is called a Special Enrollment Period.

Below is a list of some, but not all events that may qualify you for Special Enrollment:

  • You move outside of the plan’s approved service area.
  • You enter or leave a qualified institution, such as a nursing home.
  • You qualify for low-income subsidy assistance (Extra Help).
  • You enroll in Medicaid.
  • You involuntarily lose creditable prescription drug coverage.
  • You leave or lose your employer's health plan.

If any of these situations apply to you, call us at 1-866-288-3539 (TTY: 711).

Medicare Enrollment

Ready to Enroll?

Want to Confirm Medicare Advantage is the Right Choice?

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