2013 Evidence of Coverage (EOC)

The RxBLUE Evidence of Coverage (EOC) includes detailed information on your Medicare prescription drug coverage. This legal document addresses any conditions associated with the receipt or use of benefits and potential for contract termination, as well as your rights and responsibilities upon disenrollment. You can search the document for specific words or topics by holding the CTRL key while pressing "F" on your keyboard.

Evidence of Coverage


Quality Assurance

The RxBLUE PDP Evidence of Coverage (EOC) includes information on our quality assurance policies and procedures. You can find information regarding drug management programs such as utilization management (prior authorizations, quantity limits, step therapy and generic substitutions) and medication therapy management.

Quality Assurance Policies


Medication Therapy Management

The RxBLUE PDP Medication Therapy Management program is available at no cost for members who meet specific criteria. Members who have multiple medical conditions, who are taking certain prescription drugs or who have high drug costs may be eligible for the program.

Medication Therapy Management


Contract Termination and Member Rights

BCBSLA has a contract with CMS that may be renewed each year. However, either RxBLUE PDP or CMS can decide to end the contract at any time. If we leave the Medicare program or no longer offer prescription drug coverage in the service area where you live, we will notify you in writing. If either situation occurs, your membership in our Plan will end, and you will have to enroll in another Medicare Prescription Drug Plan or in a Medicare Advantage Plan with prescription drug coverage to continue receiving prescription drug benefits.

Contract Termination and Member Rights


Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity Company, a Medicare-approved Part D sponsor.

S5937_MKT113012
CMS Approved
Page Last Updated: 9:00 a.m. on 12.10.2012