Click on the links below to download forms you may need.
Blue MedicareRx℠ (PDP) Forms - Visit the Blue MedicareRx site† to download forms you may need as a member of that plan.
† By clicking this link, you will leave the BCBSRI website. BCBSRI's privacy policies do not apply to non-BCBSRI websites.
Blue Cross & Blue Shield of Rhode Island is a Medicare Advantage organization with a Medicare contract.
Last updated: 01/22/2016
Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal.