Retiree / Senior Health Plans

2026 MEDEX 2 & Medicare Advantage Plans

  1. 2026 MIIA Medicare EKits MEDEX 2 & Advantage Plans (pdf)
  2. 2026 Flex Card Member Guide
  3. MyBlue 2026 Easy Access Information (pdf)
  4. Resources 2026 Fitness - Weight Loss Reimbursement Information

2026 MEDEX 2 

  1. 2026 MEDEX 2 Blue Medicare Rx PDP Enrollment Form (pdf)
  2. MIIA MEDEX 2 Retiree Enrollment & Change Form (pdf)
  3. MEDEX 2 2026 Benefits Overview (pdf)
  4. MEDEX 2 2026 Formulary - List of Covered Drugs (pdf)

2026 Medicare Advantage Plan

  1. 2026 Med Advantage Enrollment Form (pdf)
  2. Advantage Plan 2026 Benefits Overview (pdf)
  3. Advantage Plan 2026 Formulary - List of Covered Drugs (pdf)

2025 Medex 2 & Medicare Advantage Plans

  1. MIIA EKit 2025 Medex 2 & Medicare Advantage Plans

2025 Medex 2 Supplement Plan

  1. BlueMedicareRx 2025 PDP enrollment form (PDF)
  2. Blue Med RX Summary of Benefits (PDF)
  3. BlueMedRx 2024 Formulary Change in Druglist
  4. Blue Medicare Formulary Plan (PDF)
  5. Medex 2 Summary of Benefits (PDF)
  6. BCBS Medicare Eligible Enrollment Form

2025 Medicare Advantage Plan

  1. Medicare Advantage Formulary Plan (PDF)
  2. Medicare Advantage Freedom Enrollment Form (PDF)
  3. Medicare Advantage Freedom Rx PPO (PDF)