Evidence of Coverage & Annual Notice of Change
Existing Members: Request to receive a printed Evidence of Coverage by mail
2023 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 BlueActive PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare BlueClassic PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare BlueEnhanced PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare BlueEssential PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare BlueFlex PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare BlueSecure PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare BlueSalute PPO |
CNY |
Broome - Cayuga - Chemung - Chenango - Cortland - Herkimer - Jefferson - Lewis - Madison - Oneida - Onondaga - Oswego - St. Lawrence - Schuyler - Steuben - Tioga - Tompkins |
||
|
Medicare Bassett HMO-POS |
East |
Delaware - Otsego - Herkimer |
||
|
Medicare BluePlus PPO |
East |
Clinton - Delaware - Essex - Franklin - Fulton - Hamilton - Montgomery - Otsego |
||
|
Medicare BlueSalute PPO |
East |
Clinton - Delaware - Essex - Franklin - Fulton - Hamilton - Montgomery - Otsego |
||
|
Medicare Blue Choice Access PPO |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Advanced HMO-POS |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Extra HMO |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Freedom HMO-POS |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Optimum HMO-POS |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Select HMO |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Value HMO |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
||
|
Medicare Blue Choice Value Plus HMO-POS |
Rochester |
Livingston - Monroe - Ontario - Seneca - Wayne - Yates |
Excellus BlueCross BlueShield is an HMO/PPO/HMO D-SNP plan with a Medicare contract and a contract with the New York State Medicaid program. 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_10519_C.
This page last updated 10-01-2024.
