Live Your Blue Life
The City of Chicago has made sure to provide you with three Blue Cross Group Medicare Advantage Open Access (PPO)℠ plans designed to provide coverage for the care you need, encourage you to maintain your good health, and help you manage your health care costs.
Medicare-eligible Retiree Benefits
Blue Cross Group Medicare Advantage Open Access (PPO)SM
This Open Access Medicare Advantage plan bundles medical care and prescription drug coverage with extra health and wellness benefits. And because it’s a group plan, your costs will be lower. This plan also gives you the freedom to seek care across the country. You have the flexibility to go outside the network for the same cost. No referral is needed.
2026 Plan Documents (Effective January 1, 2026)
MAPD
- Enrollment Letter
- CTA Insert
- Enrollment Brochure
- Plan Overview Chart
- Health & Wellness Benefits
- Open Access Provider Notice
- Retiree Checklist
- Summary of Benefits
- Evidence of Coverage
- Annual Notice of Change
- Star Ratings
- Enrollment Form
MA
- Enrollment Letter
- CTA Insert
- Enrollment Brochure
- Plan Overview Chart
- Health & Wellness Benefits
- Open Access Provider Notice
- Retiree Checklist
- Summary of Benefits - Plan 1 Plan 2
- Evidence of Coverage - Plan 1 Plan 2
- Annual Notice of Change - Plan 1 Plan 2
- Star Ratings
- Enrollment Form
2025 Plan Documents (Effective January 1, 2025)
- Enrollment Brochure
- Enrollment Form
- Summary of Benefits
- Open Access Provider Notice
- Health & Wellness Benefits
- Proof of Insurance
- MAPD Non-Discrimination Notice
- Star Ratings
- Rx Drug Formulary - Premier
- Rx Drug Formulary - Standard
- Pharmacy Directory
- Welcome Guide
2025 City of Chicago Retiree Benefit Highlight Comparison Chart
Prescription Drug Benefits
Your health plan includes prescription drug benefits. These benefits are administered by Prime Therapeutics®, the Pharmacy Benefit Manager (PBM) for BCBSIL. To find an in-network pharmacy visit myprime.com, go to Find a Pharmacy and select "Advantage Network".
2026 Plan Documents (Effective January 1, 2026)
PDP
- Enrollment Letter
- CTA Insert
- Enrollment Brochure
- Plan Overview Chart
- Retiree Checklist
- Summary of Benefits - Plan 1 Plan 2
- Evidence of Coverage - Plan 1 Plan 2
- Star Ratings
- Enrollment Form
Prime Therapeutics LLC provides pharmacy solutions for Blue Cross and Blue Shield of Illinois. Blue Cross and Blue Shield of Illinois, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC.
MyPrime.com is a pharmacy benefit website owned and operated by Prime Therapeutics LLC.