Evidence of Coverage & Annual Notice of Change

Existing Members: Request to receive a printed Evidence of Coverage by mail

2020 Evidence of Coverage & Annual Notice of Change

Find the Evidence of Coverage (EOC) or Annual Notice of Change (ANOC) that applies to your plan in your county.

PLAN EVIDENCE OF COVERAGE ANNUAL NOTICE OF CHANGE REGION COUNTIES

Medicare BlueBasic PPO

EOCOpen a PDF

ANOC - CNYOpen a PDF

ANOC - UticaOpen a PDF

CNY

Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison -  Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins

Medicare BlueClassic PPO

EOCOpen a PDF

ANOC - CNYOpen a PDF

ANOC - UticaOpen a PDF

CNY

Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison -  Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins

Medicare BlueSecure PPO

EOCOpen a PDF

ANOC - CNYOpen a PDF

ANOC - UticaOpen a PDF

CNY

Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison -  Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins

Medicare BlueEnhanced PPO

EOCOpen a PDF

ANOC - CNYOpen a PDF

ANOC - UticaOpen a PDF

CNY

Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison -  Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins

Medicare BlueEssential PPO

EOCOpen a PDF

ANOC - CNYOpen a PDF

ANOC - UticaOpen a PDF

CNY

Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison -  Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins

Medicare Bassett HMO-POS

EOCOpen a PDF

ANOCOpen a PDF

CNY

Herkimer

Medicare BlueBasic PPO

EOCOpen a PDF

ANOCOpen a PDF

East

Clinton - Delaware - Essex - Franklin - Fulton - Hamilton - Montgomery - Otsego

Medicare BluePlus PPO

EOCOpen a PDF

ANOCOpen a PDF

East

Clinton - Delaware - Essex - Franklin - Fulton - Hamilton - Montgomery - Otsego

Medicare Bassett HMO-POS

EOCOpen a PDF

ANOCOpen a PDF

East

Delaware - Otsego

Medicare Blue Choice Advanced HMO-POS

EOCOpen a PDF

ANOCOpen a PDF

Rochester

Livingston - Monroe - Ontario - Seneca - Wayne - Yates

Medicare Blue Choice Value HMO

EOCOpen a PDF

ANOCOpen a PDF

Rochester

Livingston - Monroe - Ontario - Seneca - Wayne - Yates

Medicare Blue Choice Value Plus HMO-POS

EOCOpen a PDF

ANOCOpen a PDF

Rochester

Livingston - Monroe - Ontario - Seneca - Wayne - Yates

Medicare Blue Choice Optimum HMO-POS

EOCOpen a PDF

ANOCOpen a PDF

Rochester

Livingston - Monroe - Ontario - Seneca - Wayne - Yates

Medicare Blue Choice Platinum HMO-POS

EOCOpen a PDF

ANOCOpen a PDF

Rochester

Livingston - Monroe - Ontario - Seneca - Wayne - Yates

Medicare Blue Choice Select HMO

EOCOpen a PDF

ANOCOpen a PDF

Rochester

Livingston - Monroe - Ontario - Seneca - Wayne - Yates

Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_5994_C.

This page last updated 10-01-2019.