This page may have documents that can’t be read by screen reader software. For help with these documents, please call 1-877-774-8592.

Medicare Advantage Plan Documents

Find the documents you need to manage your Medicare Advantage or Medicare Advantage Prescription Drug plan offered by Blue Cross and Blue Shield of Illinois.

View these forms and documents in Spanish. If you have questions, please Contact Us.

Find the documents you need to manage your Medicare Advantage or Medicare Advantage Prescription Drug plan offered by Blue Cross and Blue Shield of Illinois.

View these forms and documents in English. If you have questions, please Contact Us.

Alert Icon

If you decide to work with an agent or broker, they MUST be certified to sell Medicare Advantage, Medicare Advantage Prescription Drug or Prescription Drug plans.

Champaign, Springfield, and Decatur Areas

Chicago Area

Evansville Area

Paducah, Cape Girardeau, and Harrisburg Areas

Peoria and Bloomington Areas

Quincy, Hannibal, and Keokuk Areas

Rockford, Davenport, Rock Island, and Moline Areas

St. Louis Area

Terre Haute Area

Last Updated: July 18, 2023