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Empire Blue Cross / Empire Blue Cross and Blue Shield

PW_B155782
2011 Medicare Advantage Summary of Benefits (SOB) and Evidence of Coverage (EOC) for Individual Medicare Advantage Products. If the product you are searching for is not on the list below, then please call the number on the back of the member’s ID card for EOC and SOB information. 

Empire Blue Cross 
Empire MediBlue Select (HMO) 
SOB 
EOC 
Empire MediBlue Plus (HMO) 
SOB 
EOC 
Empire MediBlue Freedom I (PPO) 
SOB 
EOC 
Empire MediBlue Freedom II (PPO) 
SOB 
EOC 
Empire MediBlue Freedom III (PPO) 
SOB 
EOC 
Empire Blue Cross and Blue Shield 
Empire MediBlue Freedom I (PPO) 
SOB 
EOC 
Empire MediBlue Freedom II (A) (PPO) 
SOB 
EOC 
Empire MediBlue Freedom II (B) (PPO) 
SOB 
EOC 
Empire MediBlue Freedom II (C) (PPO) 
SOB 
EOC 
Empire MediBlue Freedom III (B) (PPO) 
SOB 
EOC 
Empire MediBlue Freedom III (C) (PPO) 
SOB 
EOC 
Empire MediBlue Essential (A) (HMO) 
SOB 
EOC 
Empire MediBlue Essential (B) (C) (HMO) 
SOB 
EOC 
Empire MediBlue Plus (A) (HMO) 
SOB 
EOC 
Empire MediBlue Plus (D) (HMO) 
SOB 
EOC 
Empire MediBlue Plus (B) (HMO) 
SOB 
EOC 
Empire MediBlue Select (D) (HMO) 
SOB 
EOC 
Empire MediBlue Select (E) (HMO) 
SOB 
EOC 
 
(A) Suffolk County 
(B) Bronx, Kings, Nassau, New York, Queens, and Richmond Counties 
(C) Columbia, Delaware, Dutchess, Greene, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester 
(D) Nassau  
(E) Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester 
 
©2014 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.