Premera Blue Cross Medicare Advantage Plans
Annual Enrollment Benefits Seminar Calendar
For more information about presentation seminars, please call:
888-868-7767 (TTY: 711), 8 a.m. to 8 p.m., Monday–Friday, (7 days a week from October 1 through February 14)
Date
Time
Location
Address
City
Zip
Thursday, November 5
11 a.m.
Best Western Plus Arlington/Marysville
3721 172nd Street NE
Arlington
98223
Monday, November 2
11 a.m.
Auburn Golf Course
29630 Green River Road SE
Auburn
98092
Friday, November 13
2 p.m.
Auburn Golf Course
29630 Green River Road SE
Auburn
98092
Monday, November 23
2 p.m.
Auburn Golf Course
29630 Green River Road SE
Auburn
98092
Tuesday, November 3
11 a.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
Tuesday, November 10
11 a.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
Thursday, November 12
11 a.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
Thursday, November 12
2 p.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
Tuesday, November 17
2 p.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
Thursday, November 19
11 a.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
Wednesday, December 2
11 a.m.
Coast Bellevue Hotel
625 116th Avenue NE
Bellevue
98004
H7245_PBC0169_Accepted
030874 (11-2015)
Date
Time
Location
Address
City
Zip
Tuesday, November 3
10 a.m.
Midtown Grill Media Room
20609 State Route 410 E
Bonney Lake
98391
Friday, November 13
2 p.m.
Midtown Grill Media Room
20609 State Route 410 E
Bonney Lake
98391
Wednesday, November 11
6 p.m.
Hilton Garden Inn Seattle/Bothell 22600 Bothell Everett Hwy
Bothell
98021
Monday, November 23
11 a.m.
Hilton Garden Inn Seattle/Bothell 22600 Bothell Everett Hwy
Bothell
98021
Wednesday, November 4
6 p.m.
Best Western Edmonds Harbor Inn
130 W Dayton Street
Edmonds
98020
Thursday, December 3
11 a.m.
Best Western Edmonds Harbor Inn
130 W Dayton Street
Edmonds
98020
Thursday, November 12
11 a.m.
Green River Community College 1414 Griffin Avenue Classroom 15
Enumclaw
98022
Monday, November 2
11 a.m.
Everett Clinic, Evergreen Building 7600 Evergreen Way
Everett
98203
Monday, November 9
12 p.m.
Everett Clinic, Evergreen Building 7600 Evergreen Way
Everett
98203
Wednesday, November 11
11 a.m.
Best Western Cascadia Inn
2800 Pacific Avenue
Everett
98201
Saturday, November 14
11 a.m.
Best Western Cascadia Inn
2800 Pacific Avenue
Everett
98201
Wednesday, November 18 11 a.m.
Best Western Cascadia Inn
2800 Pacific Avenue
Everett
98201
Wednesday, November 18 6 p.m.
Shawn O’Donnell’s American Grill & Irish Pub
122 128th Street SE
Everett
98208
Date
Time
Location
Address
City
Zip
Tuesday, November 24
11 a.m.
Best Western Cascadia Inn
2800 Pacific Avenue
Everett
98201
Wednesday, December 2
11 a.m.
Best Western Cascadia Inn
2800 Pacific Avenue
Everett
98201
Monday, November 2
2 p.m.
Best Western Plus Evergreen 32124 25th Avenue S Inn & Suites, Adams/Baker Room
Federal Way
98003
Friday, November 13
11 a.m.
Best Western Plus Evergreen 32124 25th Avenue S Inn & Suites, Adams/Baker Room
Federal Way
98003
Monday, November 16
2 p.m.
Best Western Plus Evergreen 32124 25th Avenue S Inn & Suites, Adams/Baker Room
Federal Way
98003
Monday, November 23
11 a.m.
Best Western Plus Evergreen 32124 25th Avenue S Inn & Suites, Adams/Baker Room
Federal Way
98003
Friday, December 4
11 a.m.
Best Western Plus Evergreen 32124 25th Avenue S Inn & Suites, Adams/Baker Room
Federal Way
98003
Tuesday, November 3
2 p.m.
Fife Community Center Room 2
2111 54th Avenue E
Fife
98424
Tuesday, November 17
2 p.m.
Fife Community Center Room 2
2111 54th Avenue E
Fife
98424
Friday, November 6
10 a.m.
The INN at Gig Harbor Rainier/Paradise Rooms
3211 56th Street NW
Gig Harbor
98335
Thursday, November 19
10 a.m.
The INN at Gig Harbor Paradise Room
3211 56th Street NW
Gig Harbor
98335
Date
Time
Location
Address
City
Zip
Tuesday, November 24
2 p.m.
The INN at Gig Harbor Rainier/Paradise Rooms
3211 56th Street NW
Gig Harbor
98335
Thursday, December 3
10 a.m.
The INN at Gig Harbor Rainier/Paradise Rooms
3211 56th Street NW
Gig Harbor
98335
Tuesday, November 3
2 p.m.
Holiday Inn Seattle-Issaquah
1801 12th Avenue NW
Issaquah
98027
Monday, November 9
2 p.m.
Holiday Inn Seattle-Issaquah
1801 12th Avenue NW
Issaquah
98027
Monday, November 16
11 a.m.
Holiday Inn Seattle-Issaquah
1801 12th Avenue NW
Issaquah
98027
Monday, November 30
2 p.m.
Holiday Inn Seattle-Issaquah
1801 12th Avenue NW
Issaquah
98027
Tuesday, November 3
11 a.m.
Red Lion Inn & Suites Kent Conference Room
25100 74th Avenue S
Kent
98032
Friday, November 20
11 a.m.
Red Lion Inn & Suites Kent Conference Room
25100 74th Avenue S
Kent
98032
Wednesday, November 25 2 p.m.
Red Lion Inn & Suites Kent Conference Room
25100 74th Avenue S
Kent
98032
Tuesday, December 1
2 p.m.
Red Lion Inn & Suites Kent Conference Room
25100 74th Avenue S
Kent
98032
Saturday, November 7
11 a.m.
La Quinta Inn & Suites Seattle Bellevue/Kirkland
10530 NE Northup Way
Kirkland
98033
Wednesday, November 4
10 a.m.
Lacey Community Center
6729 Pacific Avenue SE
Lacey
98503
Date
Time
Location
Address
City
Zip
Thursday, November 5
1 p.m.
Lacey Community Center
6729 Pacific Avenue SE
Lacey
98503
Thursday, November 12
1 p.m.
Lacey Community Center
6729 Pacific Avenue SE
Lacey
98503
Thursday, November 19
1 p.m.
Lacey Community Center
6729 Pacific Avenue SE
Lacey
98503
Tuesday, November 24
10 a.m.
Lacey Community Center
6729 Pacific Avenue SE
Lacey
98503
Thursday, December 3
1 p.m.
Lacey Community Center
6729 Pacific Avenue SE
Lacey
98503
Tuesday, November 3
2 p.m.
Lake Stevens Senior Center
2302 Soper Hill Road
Lake Stevens
98258
Tuesday, November 10
2:30 p.m.
Lake Stevens Senior Center
2302 Soper Hill Road
Lake Stevens
98258
Tuesday, November 17
2 p.m.
Lake Stevens Senior Center
2302 Soper Hill Road
Lake Stevens
98258
Tuesday, November 10
2 p.m.
St. Clare Hospital Classrooms A & B
11315 Bridgeport Way SW
Lakewood
98499
Tuesday, November 24
10 a.m.
Lakewood City Hall Council Chambers
6000 Main Street SW
Lakewood
98499
Tuesday, November 3
6 p.m.
Homewood Suites by Hilton Seattle/Lynnwood
18123 Alderwood Mall Pkwy
Lynnwood
98037
Saturday, November 7
11 a.m.
Homewood Suites by Hilton Seattle/Lynnwood
18123 Alderwood Mall Pkwy
Lynnwood
98037
Tuesday, November 10
11 a.m.
Homewood Suites by Hilton Seattle/Lynnwood
18123 Alderwood Mall Pkwy
Lynnwood
98037
Date
Time
Location
Address
City
Zip
Tuesday, November 24
6 p.m.
Homewood Suites by Hilton Seattle/Lynnwood
18123 Alderwood Mall Pkwy
Lynnwood
98037
Tuesday, December 1
11 a.m.
Homewood Suites by Hilton Seattle/Lynnwood
18123 Alderwood Mall Pkwy
Lynnwood
98037
Thursday, November 5
11 a.m.
Lake Wilderness Lodge Maple Room
22500 SE 248th Street
Maple Valley
98038
Wednesday, November 18 11 a.m.
Lake Wilderness Lodge Maple Room
22500 SE 248th Street
Maple Valley
98038
Monday, November 30
2 p.m.
Lake Wilderness Lodge Maple Room
22500 SE 248th Street
Maple Valley
98038
Thursday, November 19
11 a.m.
Holiday Inn Express Marysville
8606 36th Avenue NE
Marysville
98270
Monday, November 2
11 a.m.
Mercer Island Community & Event Center
8236 SE 24th Street
Mercer Island
98040
Tuesday, November 10
2 p.m.
Mercer Island Community & Event Center
8236 SE 24th Street
Mercer Island
98040
Tuesday, November 17
11 a.m.
Mercer Island Community & Event Center
8236 SE 24th Street
Mercer Island
98040
Wednesday, November 25 11 a.m.
Mercer Island Community & Event Center
8236 SE 24th Street
Mercer Island
98040
Friday, November 6
Best Western Sky Valley Inn
19233 State Route 2
Monroe
98272
12 p.m.
Date
Time
Location
Address
City
Zip
Tuesday, November 17
10 a.m.
Mountlake Terrace Senior Center 23000 Lakeview Drive
Mountlake Terrace 98043
Friday, November 13
11 a.m.
Staybridge Suites Seattle North-Everett
9600 Harbour Place
Mukilteo
98275
Tuesday, November 10
11 a.m.
DoubleTree Hilton Olympia
415 Capitol Way N
Olympia
98501
Tuesday, December 1
11 a.m.
DoubleTree Hilton Olympia
415 Capitol Way N
Olympia
98501
Saturday, November 7
3 p.m.
Denny’s
626 S Hill Park Drive
Puyallup
98373
Thursday, November 12
10 a.m.
Fairfield Inn & Suites Puyallup Pioneer Room
202 15th Avenue SW
Puyallup
98371
Friday, November 20
10:30 a.m. Denny’s
626 S Hill Park Drive
Puyallup
98373
Wednesday, November 25 10 a.m.
Fairfield Inn & Suites Puyallup Pioneer Room
202 15th Avenue SW
Puyallup
98371
Wednesday, December 2
2 p.m.
Denny’s
626 S Hill Park Drive
Puyallup
98373
Monday, November 2
2 p.m.
Hyatt House Seattle/Redmond
15785 Bear Creek Parkway
Redmond
98052
Monday, November 9
11 a.m.
Hyatt House Seattle/Redmond
15785 Bear Creek Parkway
Redmond
98052
Monday, November 16
2 p.m.
Hyatt House Seattle/Redmond
15785 Bear Creek Parkway
Redmond
98052
Monday, November 23
11 a.m.
Hyatt House Seattle/Redmond
15785 Bear Creek Parkway
Redmond
98052
Wednesday, December 2
2 p.m.
Hyatt House Seattle/Redmond
15785 Bear Creek Parkway
Redmond
98052
Date
Time
Location
Monday, November 9
2 p.m.
Tuesday, November 24
Address
City
Zip
Red Lion Hotel & Conference 1 S Grady Way Center Seattle/Renton, Cedar Room
Renton
98057
2 p.m.
Red Lion Hotel & Conference 1 S Grady Way Center Seattle/Renton, Cedar Room
Renton
98057
Tuesday, December 1
11 a.m.
Red Lion Hotel & Conference 1 S Grady Way Center Seattle/Renton, Cedar Room
Renton
98057
Tuesday, November 3
2 p.m.
Red Lion Hotel Seattle Airport Rainier Room
18220 International Boulevard Seattle
98188
Wednesday, November 4
11 a.m.
Embassy Suites Seattle-Tacoma Airport
15920 W Valley Highway
Seattle
98188
Wednesday, November 4
2 p.m.
Silver Cloud Hotel Seattle-Broadway
1100 Broadway
Seattle
98122
Friday, November 6
11 a.m.
Embassy Suites Seattle-Tacoma Airport
15920 W Valley Highway
Seattle
98188
Friday, November 6
2 p.m.
Courtyard Marriott Seattle Downtown/Lake Union
925 Westlake Avenue N
Seattle
98109
Tuesday, November 10
11 a.m.
Courtyard Marriott Seattle Downtown/Lake Union
925 Westlake Avenue N
Seattle
98109
Tuesday, November 10
2 p.m.
Holiday Inn Express & Suites North Seattle
14115 Aurora Avenue N
Seattle
98133
Date
Time
Location
Address
City
Zip
Wednesday, November 11
11 a.m.
Silver Cloud Hotel Seattle-Broadway
1100 Broadway
Seattle
98122
Wednesday, November 11
2 p.m.
Seward Park Audubon Center Garry Oak Room
5902 Lake Washington Blvd S Seattle
98118
Tuesday, November 17
11 a.m.
Holiday Inn Express & Suites North Seattle
14115 Aurora Avenue N
Seattle
98133
Tuesday, November 17
2 p.m.
Polyclinic Madison Center 1st Floor Conference Room
904 7th Ave
Seattle
98104
Thursday, November 19
11 a.m.
Seward Park Audubon Center Garry Oak Room
5902 Lake Washington Blvd S Seattle
98118
Thursday, November 19
2 p.m.
Courtyard Marriott Seattle Downtown/Lake Union
925 Westlake Avenue N
Seattle
98109
Friday, November 20
2 p.m.
Red Lion Hotel Seattle Airport Rainier Room
18220 International Boulevard Seattle
98188
Saturday, November 21
11 a.m.
West Seattle Christian Church
4400 42nd Avenue SW
Seattle
98116
Tuesday, November 24
11 a.m.
Holiday Inn Express & Suites North Seattle
14115 Aurora Avenue N
Seattle
98133
Tuesday, November 24
2 p.m.
Courtyard Marriott Seattle Downtown/Lake Union
925 Westlake Avenue N
Seattle
98109
Date
Time
Location
Address
City
Zip
Wednesday, November 25 11 a.m.
Silver Cloud Hotel Seattle-Broadway
1100 Broadway
Seattle
98122
Monday, November 30
11 a.m.
Courtyard Marriott Seattle Downtown/Lake Union
925 Westlake Avenue N
Seattle
98109
Monday, November 30
2 p.m.
Holiday Inn Express & Suites North Seattle
14115 Aurora Avenue N
Seattle
98133
Friday, December 4
1 p.m.
Embassy Suites Seattle-Tacoma Airport
15920 W Valley Highway
Seattle
98188
Thursday, November 12
6 p.m.
Shoreline Conference Center Arden Room
18560 1st Avenue NE
Shoreline
98155
Thursday, November 12
2 p.m.
Snohomish Center
506 4th Street
Snohomish
98290
Monday, November 23
3 p.m.
Snohomish Center
506 4th Street
Snohomish
98290
Monday, November 2
1 p.m.
Rosauers Family Restaurant
9414 N Division Street
Spokane
99218
Wednesday, November 4
9 a.m.
Rosauers Family Restaurant
9414 N Division Street
Spokane
99218
Thursday, November 5
10 a.m.
Red Lion Hotel at the Park
303 W North River Drive
Spokane
99201
Friday, November 6
11 a.m.
South Hill Public Library
3324 S Perry Street
Spokane
99203
Monday, November 9
1 p.m.
Rosauers Family Restaurant
9414 N Division Street
Spokane
99218
Thursday, November 12
10 a.m.
Red Lion Hotel at the Park
303 W North River Drive
Spokane
99201
Date
Time
Location
Address
City
Zip
Monday, November 16
1 p.m.
Rosauers Family Restaurant
9414 N Division Street
Spokane
99218
Monday, November 23
1 p.m.
Rosauers Family Restaurant
9414 N Division Street
Spokane
99218
Monday, November 2
10 a.m.
Valley Hospital
12606 E Mission Avenue
Spokane Valley
99216
Thursday, November 5
1 p.m.
Shari’s Restaurant & Pies
320 N Sullivan Road
Spokane Valley
99037
Monday, November 9
10 a.m.
Valley Hospital
12606 E Mission Avenue
Spokane Valley
99216
Monday, November 16
10 a.m.
Valley Hospital
12606 E Mission Avenue
Spokane Valley
99216
Monday, November 23
10 a.m.
Valley Hospital
12606 E Mission Avenue
Spokane Valley
99216
Thursday, November 5
10 a.m.
Center at Norpoint Room 102
4818 Nassau Avenue NE
Tacoma
98422
Tuesday, November 10
10 a.m.
Sprinker Recreation Center Alder Room
14824 C Street S
Tacoma
98444
Wednesday, November 11
2 p.m.
Tacoma Nature Center Auditorium
1919 S Tyler Street
Tacoma
98405
Monday, November 16
2 p.m.
Knapp’s Restaurant
2707 N Proctor Street
Tacoma
98407
Saturday, November 21
10 a.m.
Allenmore Hospital Classroom/Basement
1901 S Union Avenue
Tacoma
98405
Monday, November 23
10 a.m.
Sprinker Recreation Center Alder Room
14824 C Street S
Tacoma
98444
Date
Time
Location
Address
City
Zip
Tuesday, December 1
10 a.m.
Knapp’s Restaurant
2707 N Proctor Street
Tacoma
98407
Monday, November 2
2 p.m.
Environmental Services Building 9850 64th Street W East Room
University Place
98467
Tuesday, November 17
10 a.m.
Environmental Services Building 9850 64th Street W East Room
University Place
98467
Monday, November 30
2 p.m.
Environmental Services Building 9850 64th Street W East Room
University Place
98467
Premera Blue Cross is an HMO and HMO-POS plan with a Medicare contract.
Enrollment in Premera Blue Cross depends on contract renewal.
A sales person will be present with information and applications.
For accommodation of persons with special needs at sales meetings call 888-868-7767 (TTY: 711).
Multi-Language Insert Multi-Language Interpreter Services English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-850-8526 (TTY: 711). Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-850-8526 (TTY: 711). Chinese: 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-850-8526（TTY：711） 。 Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-850-8526 (TTY: 711). Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888850-8526 (TTY: 711)번으로 전화해 주십시오. Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-850-8526 (телетайп: 711). Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-850-8526 (TTY: 711). Ukrainian: УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-888-850-8526 (телетайп: 711). Mon-Khmer, Cambodian: ្របយ័ត � េរើសិន�អកនិ �ប ��ែខ� រ, េស�ជំនួ បែផក�� ត ត េ�បមិនគ័ឈល �ររំ ចរូ ទរសព� ិ � � គ�ច�នសំ ឺ ់ េ រអក។ � ត ូ យ 1-888-850-8526 (TTY: 711)។ Japanese: 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-888-850-8526 （TTY:711）まで、お電話にてご連絡ください。 Amharic: ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-888-850-8526 (መስማት ለተሳናቸው: 711). Cushite (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-888-850-8526 (TTY: 711). Arabic:
)ﺭﻗﻢ711 ﺍﺗﺼﻞ ﺑﺮﻗﻢ. ﻓﺈﻥ ﺧﺪﻣﺎﺕ ﺍﻟﻤﺴﺎﻋﺪﺓ ﺍﻟﻠﻐﻮﻳﺔ ﺗﺘﻮﺍﻓﺮ ﻟﻚ ﺑﺎﻟﻤﺠﺎﻥ، ﺇﺫﺍ ﻛﻨﺖ ﺗﺘﺤﺪﺙ ﺍﺫﻛﺮ ﺍﻟﻠﻐﺔ:ﻣﻠﺤﻮﻅﺔ .(8526-850-888-1 :ﻫﺎﺗﻒ ﺍﻟﺼﻢ ﻭﺍﻟﺒﻜﻢ
Punjabi: ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ� ਪਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤ� ਭਾਸ਼ਾ ਿਵਚ ੰ ੱ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-888850-8526 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰ।ੋ German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-850-8526 (TTY: 711). Laotian: ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-888-850-8526 (TTY: 711). Premera Blue Cross is an HMO plan with a with a Medicare contract. Enrollment in Premera Blue Cross depends on renewal. H7245_PBC0977_Accepted
028023 (11-2016)
!!!!!!!!!!!!!!!!!!!!!!!! !
Non- Discrimination Notice
Discrimination is Against the Law Premera Blue Cross Medicare Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, color, religion, sex, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability, or geographic location. Premera: • Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) • Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact the Civil Rights Coordinator. If you believe that Premera has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Premera Blue Cross Medicare Advantage Plans, Attn: Civil Rights Coordinator, P.O. Box 4158, Portland, OR 97208-4158
Fax Number: 1-855-339-8129 Expedited appeal requests can be made by phone at 1-888-850-8526 (TTY: 711). Email:
[email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Ave SW, Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Getting Help in Other Languages This Notice has important information. This notice may have important information about your application or coverage through Premera Blue Cross Medicare Advantage. There may be key dates in this notice. You may need to take action by certain deadlines to keep your health coverage or help with costs. You have the right to get this information and help in your language at no cost. Call 888-850-8526 (TTY: 711).
!
Premera Blue Cross is an HMO plan with a with a Medicare contract. Enrollment in Premera Blue Cross depends on renewal. H7245_PBC0979
