Medicare Plans
With an expanded product portfolio, Blue Cross and Blue Shield of Nebraska (BCBSNE) has a Medicare solution for your clients including Medicare Advantage, Medicare Supplement and Medicare Prescription Drug plans.
Download the Individual Admin Guide
New Electronic Functionalities for Medicare Applications
2021 Medicare Supplement and Medicare Advantage applications can now be signed by your client and submitted electronically.
The new features include:
- A personalized agent landing page for DRX Medicare Advantage and Medicare Supplement portals
- The ability to send a scope of appointment via text or email
- A new 2021 Medicare Advantage electronic signature/application to consumer
To learn more about completing the e-app process, view the 10-minute broker tutorial below.
We understand there may be questions about enrollment options for Medicare beneficiaries during this time. While the Centers for Medicare & Medicaid Services (CMS) have not released modified sales and marketing guidance as it pertains to COVID-19 and enrollment, the enrollment options below fit within the guidance and may be used.
Medicare Advantage Plans
BCBSNE's Medicare Advantage plans combine hospital, medical and prescription drug coverage benefits all in one complete plan for your clients. Looking to sell BCBSNE Medicare Advantage plans? Email GetStarted@NebraskaBlue.com.
Enrollment Links
Start enrolling your clients in Medicare Advantage.
2021 Medicare Advantage Plans (DRX)
2021 Medicare Advantage Enrollment Form – Access and Core
2021 Medicare Advantage Enrollment Form – Choice
COVID-19 Enrollment Procedures for Medicare Advantage Plans
BCBSNE now accepts a scope of appointment (SOA) through email and voice messaging.
Electronic SOA: At the beginning of the appointment, you can share the electronic SOA by sending the template from an email address that clearly identifies you as the agent (i.e., firstname.lastname@gmail.com). The beneficiary will need to respond, and you will need to maintain a copy of the electronic SOA for 10+ years.
Download the email template
Voice SOA: At the beginning of the appointment, you can call 877-632-5837 and leave a voicemail with the beneficiary. You will need to record the verbally agreed upon scope and the beneficiary’s agreement to hear plan options. This will be maintained by BCBSNE for 10+ years.
Download the verbal script
Marketing Materials available to download:
- Medicare Member Education Videos
- Medicare 101 place mat (16” x 12”)
- Medicare poster (22” x 28”) (coming soon)
- AEP letter template (8.5” x 11”)
- AEP print ad (4.95” x 7”)
- Window clings: Medicare (5” x 5”) and Individual Products (6”x 8”). Please contact Nicole Creamer at 402-982-8726 to order.
Helpful Resources
Enrollment Status: 888-860-4335
Member Services: 888-488-9850
DRX Technical Questions: DrxAdmin@bcbsm.com
- Medicare Member Education Videos
- 2021 Medicare Advantage Sales Brochure - Access and Core
- 2021 Medicare Advantage Sales Brochure - Choice
- Scope of Appointment
- 2021 Pharmacy Directory
- Provider Directory
- BlueCard (BCBS.com)
- Vision Service Plan (VSP.com)
- SilverSneakers (SilverSneakers.com)
- https://Medicare.NebraskaBlue.com
Provider/Pharmacy Check: Don't see a provider or pharmacy listed in the directory? Email MedAdv@NebraskaBlue.com
If you are interested in ordering MA fulfillment kits or additional marketing material please work directly with your GA.
Plan Information
- 2021 Summary of Benefits Access and Core
- 2021 Summary of Benefits Choice
- 2021 PPO Evidence of Coverage
- 2021 HMO Evidence of Coverage
- 2021 ANOC Choice
- 2021 ANOC Core 001
- 2021 ANOC Core 002
- ANOC PPO
Plan Forms and Policies
- Dental Reimbursement Form
- Out of Network and Emergency Care Policy
- Part B Drugs Requiring Prior Authorization
- PPO Out-of-Network Vision Claim Reimbursement Form
Prescription Drug Coverage Forms and Policies
- Medication Therapy Management Program
- Part D Prior Authorization
- Part D Step Therapy
- Part D Coverage Determination and Redetermination
Payment Forms/Assistance
Confidential and Representative Forms and Policies
- Notice of Privacy Practices
- Appointing a Representative
You may choose someone to act on your behalf in filing a grievance, in requesting a coverage determination, and in requesting a redetermination. You may choose someone such as a relative, friend, sponsor, lawyer, or a doctor. A court may also appoint someone. - Release of Protected Health Information (PHI)
You may choose someone such as a family member or friend to share your Protected Health Information (PHI) with. - Filing a Grievance or Complaint
- Rights and Responsibilities When You End Your Plan
Helpful Resources
Medicare Supplement Plans
BCBSNE Medicare Supplement plans help cover the gaps that Original Medicare doesn’t cover.
Individual Enrollment
Start enrolling clients in Medicare Supplement.
2021 Medicare Supplement Plans (DRX)
COVID-19 Enrollment Procedures for Medicare Supplement Plans
The phone application process for Medicare Supplement plans has not changed; an SOA is still not required if only Medicare Supplement options are discussed.
Additional enrollment options:
- Direct enrollment by the beneficiary
- Paper-to-online submission
Marketing Forms for Individual Coverage
- Medicare Supplement Outline of Coverage:
For plans effective Jan. 1, 2021 | For plans effective Apr 1, 2021 - 2021 Medicare Supplement Applications:
Fillable PDF | Non-Fillable PDF - Member Payment Options Guide
- Medicare Member Education Videos
Marketing Materials for Group Coverage
Only plan changes which require underwriting are eligible for an Agent of Record (AOR) change. In order to change the agent of record, please take the following steps:
- Submit a new application through DRX.
- Complete and submit the Medicare Supplement Agent of Record Form prior to the effective date of the plan change. The form can be faxed or emailed to IndContractInstallation@NebraskaBlue.com or faxed to 402-548-4665.
If the application is approved, the new AOR will become effective the same day as the new plan. Applicable commissions will be paid to the new agent per current commission guidelines.
Contact
Enrollment questions, including password resets: 888-232-0942 or BrokerServices@NebraskaBlue.com or fax 402-392-4150.
Customer Service: 888-592-8961 or fax 402-392-4153
Prescription Drug Plan
BCBSNE Prescription Drug plans, MedicareBlueSM Solutions, help cover the cost of your client's medications.
COVID-19 Enrollment Procedures for MedicareBlue Rx
MedicareBlue Rx has a variety of options for enrollment, including:
- Direct enrollment by the beneficiary
- Paper-to-online submission
- Direct paper to plan by enrollee
For more information, please review the April 9, 2020 agent alert.
Stand Alone PDP Enrollment
Frequently Used Forms
Agent Questions and Answers
MedicareBlue Important Telephone Numbers and Addresses
Scope of appointment form
Marketing Forms
View MedicareBlue Solution Agent Alerts
Agent alerts are meant to inform you about contract changes in regards to MedicareBlue Solutions Part D.