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Blue Rx (PDP) plans:
For Questions About: Contact Us At: Mailing Address:
• Buying a Blue Rx (PDP) plan Prescription  Drug Plan Prospective Customer Service
888-784-0790
888-784-0868 (TTY)
8 a.m. – 8 p.m. EST,
7 days a week		 Medi-CareFirst Rx Response Team
10455 Mill Run Circle OM1-415
Owings Mills, MD 21117

• Request an Information Kit on Blue Rx (PDP) plans

 E-Mail Your Request Medi-CareFirst Rx Response Team
10455 Mill Run Circle OM1-415
Owings Mills, MD 21117
• Application Status
• Billing
• Coordination of Benefits (COB) Survey
• Change your plan
• Eligibility
• Enrollment
• New Card
• Obtaining information in other languages		 Membership Customer Service
1-888-857-6118
1-800-855-2880 (TTY)
8 a.m. - 8 p.m., 7 days a week		 Medicare Prescription Drug Plan Enrollment Center
c/o CGI
P.O. Box 8100
Lancaster, SC 29721

• Benefits
• Claims (including appeals and exceptions)
• Complaints, Appeals or Grievances
• Finding a Participating Pharmacy
• Medication Therapy Management
• Out-of-Pocket Costs
• Prior Authorizations
• Quantity Limits

 Claims Customer Service
1-800-693-1434
1-800-693-0765 (TTY)
24 hours a day, 7 days a week

Medicare Prescription Drug Plan Claims Center
Argus Health Systems
Dept.#303
P.O. Box 419019
Kansas City, MO 64141
• Prior Authorization (physicians only) Argus Health Systems
1-800-314-2872
Fax: 1-800-315-4025		  


AdvantageBlue PFFS plans:
For Questions About: Contact Us At: Mailing Address:
• Buying an AdvantageBlue PFFS plan

Contact your benefits administrator.

• Application Status
• Medical Benefits
• Medical Claims
• Expedited Medical Grievances
• New ID Cards
• Information in other languages
• 24-hour Nurse Line

 Member Service
1-866-675-8636
1-800-988-0668 (TTY)
8 a.m. - 8 p.m. EST, 7 days a week		 Member Service
c/o Operations Administration
P.O. Box 535185
Pittsburgh, PA 15253-5185

• Medical Appeals or Grievances

 Member Appeals & Grievances
1-866-675-8636
1-800-988-0668 (TTY)
8 a.m. - 8 p.m. EST, 7 days a week

Member Appeals & Grievances
c/o Operations Administration
P.O. Box 535188
Pittsburgh, PA 15253-5188
• Expedited Advance Notice of Coverage
• Expedited Appeals

Medical Management
1-866-918-5310
1-888-422-1226 (TTY)
M-F: 8:30 a.m. - 7 p.m. EST
Sat. and Sun.: 8:30 a.m. - 4:30 p.m. EST

 Medical Management
c/o Operations Administration
P.O. Box 535183
Pittsburgh, PA 15253-5183
• Case Management
• Disease Management
• A Health Coach		 Blues on CallSM
1-888-BLUE-428 (258-3428)
1-877-486-2048 (TTY/TDD)
24 hours a day, 7 days a week		  
• Prescription Benefits
• Prescription Claims
• Formulary Exceptions
• Finding a Participating Pharmacy
• Prior Authorizations
• Quantity Limits		 Pharmacy Claims Customer Service
1-888-720-0090
1-800-693-0765 (TTY)
24 hours a day, 7 days a week
 Medi-CareFirst BlueCross BlueShield
c/o Argus Health Systems
Dept #304
P.O. Box 419019
Kansas City, MO 64141
• Prescription Plan Appeals and Grievances
• Prescription Plan Expedited Appeals		 Pharmacy Claims Customer Service
1-888-720-0090
1-800-693-0765 (TTY)
24 hours a day, 7 days a week		 Medi-CareFirst BlueCross BlueShield
Central Appeals Unit
P.O. Box 17636
Baltimore, MD 21297
• Prior Authorization (physicians only) Argus Health Systems
1-800-314-2872
1-800-315-4025 (Fax)


Medigap plans:
For Questions About: Contact Us At:
• Medigap Supplemental Health Plans

Please visit Need to Buy Insurance? on our affiliated site, www.carefirst.com.

 

Other Contact Information:
For Questions About: Contact Us At: Mailing Address:
• Fraud (or suspected Fraud)

1-800-336-4522
711 (TTY Relay Service)
M-F: 9 a.m. - 4 p.m.
E-mail the Special Investigations Unit

 Medi-CareFirst
Special Investigations Unit
10455 Mill Run Circle
Owings Mills, MD 21117
• Web Site Problems E-mail the Web Team Medi-CareFirst Web Team
OM1-8/Corporate Communications
10455 Mill Run Circle
Owings Mills, MD 21117