2022 Member Services & Medicare Plan Information*

To Select Information About Your Plan:

Scroll Down the page till you find YOUR insurance company
Choose YOUR Medicare Plan listed below your company
Click on the link to the right of your plan to choose the Member Service number or Plan Document you need
If you need plan information not listed here, please make your request on the “Request and Suggestions Form“

BlueCross BlueShield of TN Plans	Member Services Phone
BlueAdvantage Sapphire (PPO)	(800) 831-2583	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
BlueAdvantage Emerald (PPO)	(800) 831-2583	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
BlueAdvantage Ruby (PPO)	(800) 831-2583	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
BlueAdvantage Diamond (PPO)	(800) 831-2583	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
BlueAdvantage Freedom (PPO)	(888) 851-2583	N/A	Summary of Benefits	Provider Directory	N/A	N/A	Stars
BlueCare Plus (HMO D-SNP)	(800) 332-5762	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars

Cigna	Member Services Phone
Cigna Primary Medicare (HMO) H4513-035	(800) 668-3813	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Cigna True Choice Medicare (PPO) H7849-043	(800) 668-3813	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Cigna Preferred Medicare (HMO) H4513-037	(800) 668-3813	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Cigna Fundamental Medicare (HMO) H4513-033	(800) 668-3813	Summary of Benefits	Provider Directory	N/A	N/A	Stars

Humana	Member Services Phone
Humana Gold H4461-030 (HMO-POS)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
Humana Gold H4461-031 (HMO-POS)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
Humana Gold H4461-035 (HMO-POS)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
Humana Gold HMO H4461-022 (SNP-DE HMO)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
Humana Gold Plus H4461-038 (HMO D-SNP)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
Humana Choice H5216-180 (PPO)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
HumanaChoice PPO PPO H5216-099	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
HumanaChoice PPO PPO R7315-002	(800) 457-478	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Humana Choice H4461-004	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
HumanaChoice R7315-001(Regional PPO)	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Humana Honor PPO H5216-235	(800) 457-4708	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Humana Walmart Value Rx Plan PDP S5884-191	(800) 281-6918	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Humana Basic Rx Plan PDP S5884-106	(800) 281-6918	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Humana Premier Rx Plan PDP S5884-158	(800) 281-6918	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars

United HealthCare (UHC)	MemberServices Phone
AARP Medicare Advantage Plan 1 (HMO) H5253-047-000	(844) 723-6473	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
AARP Medicare Advantage Plan 2 (HMO) H5253-048-000	(800) 643-4845	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	5/Stars
UnitedHealthcare Medicare Advantage Choice (PPO) H2577-020-000	(800) 643-4845	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
AARP Medicare Advantage Patriot (HMO) H5253-113-000	(800) 643-4845	Annual Notice of Change	Summary of Benefits	Provider Directory	N/A	N/A	5/Stars
UnitedHealthcare® Medicare Advantage Choice (PPO) H2577-020	(800) 643-4845	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
UnitedHealthcare Dual Complete (HMO D-SNP) H0251-002-000	(800) 690-1606	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
AARP MedicareRx Walgreens (PDP) S5921-393-000	(866) 870-3470	Annual Notice of Change	Summary of Benefits	N/A	Pharmacy Directory	Formulary	Stars
AARP MedicareRx Preferred (PDP) S5820-011-000	(888) 867-5575	Annual Notice of Change	Summary of Benefits	N/A	Pharmacy Directory	Formulary	Stars
AARP MedicareRx Saver Plus (PDP) S5921-357-000	(866) 460-8854	Annual Notice of Change	Summary of Benefits	N/A	Pharmacy Directory	Formulary	Stars

WellCare	Member Services Phone
Wellcare Assist HMO	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare Dual Access HMO D-SNP	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare Giveback HMO	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare Giveback Open PPO	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare No Premium HMO-POS	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare No Premium Open (PPO)	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare Patriot Giveback HMO-POS	(833) 444-9088	Annual Notice of Change	Summary of Benefits	Provider Directory	N/A	N/A	Stars
Wellcare Classic (PDP)	(888) 550-5252	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare Medicare Rx Value Plus (PDP)	(888) 550-5252	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars
Wellcare Value Script (PDP)	(888) 550-5252	Annual Notice of Change	Summary of Benefits	Provider Directory	Pharmacy Directory	Formulary	Stars

*Plan’s documents and links represented above are based on Knox and surrounding Tennessee counties. To determine if your plan’s information is presented here, see the specific counties represented by maps or lists presented on or in the “Summary of Benefits” document for each of the represented plans.
Information and comparable documents for plans not presented here are available by sending your request on the “Request & Suggestions Form” or by contacting Wallace Gillespie.
Every effort was made to provide absolute accuracy of the represented documents but you carry the full responsibility to confirm the document you obtain is relevant for your personal situation. See “Legal” for the full terms for the use of this site.