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2025

2025 Medicare Decision Guide

Decision Guide

Confidently choose a plan that’s right for you in 3 easy steps. This guide includes an overview of available Medicare plans, benefits and costs.

Download
 

2025 Medicare Advantage Freedom Blue℠ Enrollment Packet

Enrollment Packet

Learn about the Freedom Blue (PPO) Medicare Advantage plan. The plan includes medical-only coverage, access to 97% of doctors in Minnesota1, SilverSneakers® and dental benefits.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Anoka
Becker
Beltrami
Benton
Big Stone
Blue Earth
Brown
Carver
Cass
Chippewa
Chisago
Clay
Clearwater
Cottonwood
Crow Wing
Dakota
Dodge
Douglas
Faribault
Fillmore
Freeborn
Grant
Hennepin
Houston
Hubbard
Isanti
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen
Marshall
Martin
Morrison
Mower
Murray
Nicollet
Nobles
Norman
Olmsted
Otter Tail
Pennington
Polk
Pope
Ramsey
Red Lake
Redwood
Renville
Roseau
Scott
Sherburne
Stearns
Steele
Swift
Todd
Wabasha
Wadena
Waseca
Washington
Watonwan
Wilkin
Winona
Wright

2025 Medicare Advantage Metro Region Enrollment Packet

Enrollment Packet

Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, access to 97% of doctors in Minnesota1, SilverSneakers® and dental benefits. Also included is information on Medical-only plans for enrollees who have creditable prescription drug coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Anoka
Carver
Chisago
Dakota
Hennepin
Isanti
Ramsey
Scott
Sherburne
Washington
Wright

2025 Medicare Advantage South Region Enrollment Packet

Enrollment Packet

Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, access to 97% of doctors in Minnesota1, SilverSneakers® and dental benefits. Also included is information on Medical-only plans for enrollees who have creditable prescription drug coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Blue Earth
Dodge
Faribault
Fillmore
Freeborn
Houston
Martin
Mower
Nicollet
Olmsted
Steele
Wabasha
Waseca
Watonwan
Winona

2025 Medicare Advantage West Region Enrollment Packet

Enrollment Packet

Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, access to 97% of doctors in Minnesota1, SilverSneakers® and dental benefits. Also included is information on Medical-only plans for enrollees who have creditable prescription drug coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Becker
Beltrami
Benton
Big Stone
Brown
Cass
Chippewa
Clay
Clearwater
Cottonwood
Crow Wing
Douglas
Grant
Hubbard
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen
Marshall
Morrison
Murray
Nobles
Norman
Otter Tail
Pennington
Polk
Pope
Red Lake
Redwood
Renville
Roseau
Wadena
Wilkin

2025 Platinum Blue Enrollment Packet

RX (Cost) Enrollment Packet

Medicare-approved Cost plan with three medical plan options that you can pair with built-in prescription drug coverage for greater convenience and simplicity. Features our lowest priced option for health coverage only.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Aitkin
Carlton
Cook
Goodhue
Itasca
Kanabec
Koochiching
Lake
Le Sueur
McLeod
Meeker
Mille Lacs
Pine
Pipestone
Rice
Rock
Saint Louis
Sibley
Stevens
Traverse
Yellow Medicine

2025 MedicareBlue℠ Rx Enrollment Packet

RX (PDP) Enrollment Packet

Learn about our stand-alone prescription drug plan that offers two options for prescription drug coverage. Pair it with Original Medicare or a medical-only plan like a Blue Cross Medicare Supplement (Medigap) or Cost plan.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope

Available in all counties in Minnesota.

2025 Group Medicare Advantage Classic Formulary

RX Formulary

Covers these plans:

  • 2025 Group Medicare Advantage Classic (Classic Rx2, Select Rx2, Select Rx3, Premier Rx2, Premier Rx3, Elite MAPD plans)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2025 Group Medicare Advantage Value Formulary

RX Formulary

Covers these plans:

  • 2025 Group Medicare Advantage Value (Classic Rx1 and Value Rx4 plans)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2025 Individual Medicare Advantage and Cost Formulary

RX Formulary

Covers these plans:

  • 2025 Medicare Advantage Individual (Choice and Complete plans)
  • 2025 Platinum Blue (Cost) Individual (Choice and Complete plans)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2025 Individual Medicare Advantage Formulary

RX Formulary

Covers these plans:

  • 2025 Medicare Advantage (Core and Comfort plans)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2025 Individual Medicare Cost Formulary

RX Formulary

Covers this plan:

  • 2025 Platinum Blue (Cost) (Core plan)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2025 Medicare Supplement Enrollment Packet

Supplement Enrollment Packet

Learn about Medicare Supplement plans that supplement your Original Medicare benefits. These plans provide medical only coverage and include SilverSneakers®.

Packet includes:

  • Plan information
  • Choosing a Medigap Policy
  • Summary of coverage and disclosure
  • Plan application form and return envelope

Available in all counties in Minnesota.

2025 Medicare Advantage Freedom Blue℠ Summary of Benefits

Summary of Benefits

Summary of the medical benefits covered by the Medicare Advantage Freedom Blue (PPO) plan.

Download
 

Anoka
Becker
Beltrami
Benton
Big Stone
Blue Earth
Brown
Carver
Cass
Chippewa
Chisago
Clay
Clearwater
Cottonwood
Crow Wing
Dakota
Dodge
Douglas
Faribault
Fillmore
Freeborn
Grant
Hennepin
Houston
Hubbard
Isanti
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen
Marshall
Martin
Morrison
Mower
Murray
Nicollet
Nobles
Norman
Olmsted
Otter Tail
Pennington
Polk
Pope
Ramsey
Red Lake
Redwood
Renville
Roseau
Scott
Sherburne
Stearns
Steele
Swift
Todd
Wabasha
Wadena
Waseca
Washington
Watonwan
Wilkin
Winona
Wright

2025 Medicare Advantage Metro Region Summary of Benefits

Summary of Benefits

Covers these plans:

  • 2025 Medicare Advantage PPO Metro Region (Core, Comfort, Choice and Complete plans)

Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans.

Download
 

Anoka
Carver
Chisago
Dakota
Hennepin
Isanti
Ramsey
Scott
Sherburne
Washington
Wright

2025 Medicare Advantage Southern Region Summary of Benefits

Summary of Benefits

Covers these plans:

  • 2025 Medicare Advantage PPO South Region (Core, Choice and Complete plans)

Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans.

Download
 

Blue Earth
Dodge
Faribault
Fillmore
Freeborn
Houston
Martin
Mower
Nicollet
Olmsted
Steele
Wabasha
Waseca
Watonwan
Winona

2025 Medicare Advantage West Region Summary of Benefits

Summary of Benefits

Covers these plans:

  • 2025 Medicare Advantage PPO West Region (Core, Comfort, Choice and Complete plans)

Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans.

Download
 

Becker
Beltrami
Benton
Big Stone
Brown
Cass
Chippewa
Clay
Clearwater
Cottonwood
Crow Wing
Douglas
Grant
Hubbard
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen
Marshall
Morrison
Murray
Nobles
Norman
Otter Tail
Pennington
Polk
Pope
Red Lake
Redwood
Renville
Roseau
Stearns
Swift
Todd
Wadena
Wilkin

2025 Medicare Supplement Summary of Coverage and Disclosure

Summary of Benefits

Medicare Supplement plan overview and coverage information.

Available in all counties in Minnesota.

Download
 

2025 Platinum Blue Summary of Benefits

Summary of Benefits

Summary of the medical and prescription drug benefits covered by Platinum Blue (Cost) and Platinum Blue with Rx (Cost) plans.

Download
 

Aitkin
Carlton
Cook
Goodhue
Itasca
Kanabec
Koochiching
Lake
Le Sueur
McLeod
Meeker
Mille Lacs
Pine
Pipestone
Rice
Rock
Saint Louis
Sibley
Stevens
Traverse
Yellow Medicine

2024

2024 Medicare Decision Guide

Decision Guide

Confidently choose a plan that’s right for you in 3 easy steps. This guide includes an overview of available Medicare plans, benefits and costs.

2024 Medicare Advantage Metro Region Enrollment Packet

Enrollment Packet

Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers® and dental benefits. Also included is information on Medical-only plans for enrollees who have creditable prescription drug coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Anoka
Carver
Chisago
Dakota
Hennepin
Isanti
Ramsey
Scott
Sherburne
Washington
Wright

2024 Medicare Advantage South Region Enrollment Packet

Enrollment Packet

Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers® and dental benefits. Also included is information on Medical-only plans for enrollees who have creditable prescription drug coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Blue Earth
Dodge
Faribault
Fillmore
Freeborn
Houston
Martin
Mower
Nicollet
Olmsted
Steele
Wabasha
Waseca
Watonwan
Winona

2024 Medicare Advantage West Region Enrollment Packet

Enrollment Packet

Learn about Medicare Advantage (PPO) plans. Plans include medical and prescription drug coverage, a select doctor network, SilverSneakers® and dental benefits. Also included is information on Medical-only plans for enrollees who have creditable prescription drug coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Becker
Beltrami
Benton
Big Stone
Brown
Cass
Chippewa
Clay
Clearwater
Cottonwood
Crow Wing
Douglas
Grant
Hubbard
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen
Marshall
Morrison
Murray
Nobles
Norman
Otter Tail
Pennington
Polk
Pope
Red Lake
Redwood
Renville
Roseau
Stearns
Swift
Todd
Wadena
Wilkin

2024 Platinum Blue Enrollment Packet

RX (Cost) Enrollment Packet

Medicare-approved Cost plan with three medical plan options that you can pair with built-in prescription drug coverage for greater convenience and simplicity. Features our lowest priced option for health coverage only.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope
Aitkin
Carlton
Cook
Goodhue
Itasca
Kanabec
Koochiching
Lake
Le Sueur
McLeod
Meeker
Mille Lacs
Pine
Pipestone
Rice
Rock
Saint Louis
Sibley
Stevens
Traverse
Yellow Medicine

2024 MedicareBlue℠ Rx Enrollment Packet

RX (PDP) Enrollment Packet

Learn about our stand-alone prescription drug plan that offers three options for prescription drug coverage. Pair it with medical-only health coverage.

Packet includes:

  • Plan information
  • Summary of benefits
  • Star ratings sheet
  • Plan enrollment form and return envelope

2024 Medicare Advantage/Cost Individual Standard & Group MA PPO (All Others)

RX Formulary

Covers these plans:

  • 2024 Medicare Advantage Individual Standard (Choice and Complete plans)
  • 2024 Medicare Platinum Blue (Cost) Individual Standard (Choice and Complete plans)
  • 2024 Group Medicare Advantage PPO (Classic Rx 2, Select Rx 2, Select Rx 3, Premier Rx 2 and Premier Rx 3 plans)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2024 Medicare Advantage/Cost Individual Value & Group MAPD (Classic Rx1)

RX Formulary

Covers these plans:

  • 2024 Medicare Advantage Individual Value (Core and Comfort plans)
  • 2024 Medicare Platinum Blue (Cost) Individual Value (Core plans)
  • 2024 Group Medicare Advantage MAPD (Classic Rx1 plans)

Look up prescription drugs to find out what is covered, and which drug tier your drug is under. You can also look up covered drugs at myprime.com

2024 Medicare Supplement Enrollment Packet

Supplement Enrollment Packet

Learn about Medicare Supplement plans that supplement your Original Medicare benefits. These plans provide medical only coverage and include SilverSneakers®.

Packet includes:

  • Plan information
  • Choosing a Medigap Policy
  • Summary of coverage and disclosure
  • Plan application form and return envelope

2024 Medicare Advantage Freedom Blue℠ Summary of Benefits

Summary of Benefits

Summary of the medical benefits covered by the Medicare Advantage Freedom Blue plan. 

2024 Medicare Advantage Metro Region Summary of Benefits

Summary of Benefits

Covers these plans:

  • 2024 Medicare Advantage PPO Metro Region (Core, Comfort, Choice and Complete plans)

Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans.

Anoka
Carver
Chisago
Dakota
Hennepin
Isanti
Ramsey
Scott
Sherburne
Washington
Wright

2024 Medicare Advantage Southern Region Summary of Benefits

Summary of Benefits

Covers these plans:

  • 2024 Medicare Advantage PPO South Region (Core, Choice and Complete plans)

Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans.

Blue Earth
Dodge
Faribault
Fillmore
Freeborn
Houston
Martin
Mower
Nicollet
Olmsted
Steele
Wabasha
Waseca
Watonwan
Winona

2024 Medicare Advantage West Region Summary of Benefits

Summary of Benefits

Covers these plans:

  • 2024 Medicare Advantage PPO West Region (Core, Comfort, Choice and Complete plans)

Summary of the medical and prescription drug benefits covered by Blue Cross Medicare Advantage plans.

Becker
Beltrami
Benton
Big Stone
Brown
Cass
Chippewa
Clay
Clearwater
Cottonwood
Crow Wing
Douglas
Grant
Hubbard
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen
Marshall
Morrison
Murray
Nobles
Norman
Otter Tail
Pennington

2024 Medicare Supplement Summary of Coverage and Disclosure

Summary of Benefits

Medicare Supplement plan overview and coverage information.

2024 Platinum Blue Summary of Benefits

Summary of Benefits

Summary of the medical and prescription drug benefits covered by Platinum Blue (Cost) and Platinum Blue with Rx (Cost) plans.

Aitkin
Carlton
Cook
Goodhue
Itasca
Kanabec
Koochiching
Lake
Le Sueur
McLeod
Meeker
Mille Lacs
Pine
Pipestone
Rice
Rock
Saint Louis
Sibley
Stevens
Traverse
Yellow Medicine

1Medicare-contracted doctors compared to internal Blue Cross and Blue Shield of Minnesota data, April 2024. Some network limitations may apply.

Blue Cross offers Cost, PPO, and PDP plans with Medicare contracts. Enrollment in these Blue Cross plans depends on contract renewal. This information is not a complete description of benefits. Call (651) 662-2583 or 1-877-662-2583 (TTY call 711) for more information about Cost plans. Call 1-877-662-2583 (TTY call 711) for more information about supplement plans.

Prime Therapeutics LLC is an independent company providing pharmacy benefit management services.

SilverSneakers® is a registered trademark of Tivity Health, Inc., an independent company that provides health and fitness programs. Blue Cross Medicare Advantage, Platinum Blue, Senior Gold and other Medicare Supplement and SecureBlue plans are eligible.

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