Login
Order Prescription Refills. Track Your History Online. And a whole lot more.

Login
Find a Doctor
Find a doctor or hospital locally or across the country.
What is Empire's 360° Health® program?
A total health solution that helps members become more healthy, or live better with a condition, while lowering the cost of health care.
Learn More

Medicare Advantage HMO

PW_AD094744

Enroll in MediBlue (HMO)

Empire Blue Cross and Blue Shield is pleased to announce that on September 9, 2009, The Centers for Medicare and Medicaid Services (CMS) informed Empire Blue Cross and Blue Shield that we could begin marketing our 2010 Medicare Advantage and 2010 Medicare Prescription Drug Plans on Oct. 1, 2009. Empire Blue Cross and Blue Shield can begin enrolling Medicare beneficiaries in our 2010 Medicare Advantage and 2010 Medicare Prescription Drug Plans.  
What this means for Medicare beneficiaries is that beginning on Nov. 15, 2009 Medicare eligible individuals will be able to enroll in one of Empire Blue Cross and Blue Shield’s Medicare Advantage and Medicare Prescription Drug Plans for the 2010 benefit year. In the meantime, Medicare beneficiaries can continue to purchase one of Blue Empire Blue Cross and Blue Shield’s Medicare Supplement health benefit plans. Empire Blue Cross and Blue Shield is pleased to once again offer a full suite of Medicare products including Medicare Advantage and Medicare Prescription Drug Plans and Medicare Supplement to Medicare beneficiaries in 2010.  
Empire Blue Cross and Blue Shield is focused on improving the health of Medicare beneficiaries by offering them the benefit choices they expect and deserve. Current members, please click on the Chapter links to the left to access member materials.  
Material Identification M0013_09_304 9/23/2009 
 

Change Forms:

If you are currently a MediBlue HMO member and wish to switch to another MediBlue HMO plan please use a Change Form:

MediBlue HMO Change Request Form (Downstate) – 2009

MediBlue HMO Change Request Form (Upstate) – 2009

 

Disenrollment Forms:

If you are currently a MediBlue HMO member and wish to disenroll from a MediBlue HMO plan please use a Disenrollment Form:

MediBlue HMO Disenrollment Form (Downstate) – 2009

MediBlue HMO Disenrollment Form (Upstate) – 2009

 
Need assistance? Contact Us.  
 
You will need Adobe® Reader® to view PDF Documents. Download a copy of Adobe Reader from the Adobe website.  
 
Go back to Enroll in a Plan.  
 
Material Identification M0013_09_221, CMS Approved 09/25/2009  
Last Updated 9/25/2009  
 
©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.