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© 2018 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County. Premera Blue Cross is an HMO plan with a Medicare contract. Enrollment in Premera Blue Cross depends on contract renewal. This information is not a complete description of benefits. Call 888-868-7767 (TTY/TDD: 711) 7 days a week, 8 a.m. to 8 p.m. for more information. To join a Premera Blue Cross Medicare Advantage Plan, you must have Medicare Part A and Part B and live in the Premera Blue Cross Medicare Advantage service area (King, Pierce, Lewis, Skagit, Snohomish, Spokane, Stevens, Thurston, and Whatcom counties in Washington). Members must select a Primary Care Provider (PCP) from the Premera Blue Cross Medicare Advantage Plans provider network. For accommodation of persons with special needs at sales meetings, call 888-868-7767 (TTY/TDD: 711), 7 days a week, 8 a.m. to 8 p.m.

Plan form numbers: Plan A 021190 (06-2010); 021194 (06-2010); Plan N 021191 (06-2010); 021195 (06-2010); Plan F 021192 (06-2010); 021196 (06-2010); High Deductible Plan F 021193 (06-2010); 021197 (06-2010); Plan G 042193 (01-2018); 042194 (01-2018).