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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.

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

Chicago Area

Peoria Area

(includes Bloomington)

Rockford Area

(includes Davenport, Hannibal, Keokuk, Moline, Rock Island, and Quincy)

Saint Louis Area

(includes Paducah, Cape Girardeau, and Harrisburg)

Springfield Area

(includes Champaign and Decatur)

Last Updated: Nov. 08, 2022