Medicare Advantage

MA Provider ManualsMedicare Advantage Provider Manuals

  • BlueCross Total PPO Plan Provider Manual
  • BlueCross Secure HMO Plan Provider ManualĀ 

MA Plan InformationMedicare Advantage Plan Information

  • Find helpful Medicare Advantage member resources such as Summary of Benefits and Forms.

MA Prior Authorizations

Prior Authorizations and Referrals

View guidelines and lists to obtain authorization or referral for anticipated services or admissions.

Compliance and FWAGeneral Compliance and Fraud, Waste and Abuse

  • Get information about and links to compliance training modules required by CMS.

MA Pharmacy ResourcesMedicare Advantage Pharmacy Resources

  • Learn valuable information about Medicare Part D benefits and drug information, including Formulary lists, forms and more.