Excellus BlueCross BlueShield Print Materials Requests

Excellus BlueCross BlueShield Printed Materials

If you would like an Excellus BCBS Drug Formulary, Evidence of Coverage, or Provider Directory mailed to you, please complete the form below. For additional assistance, please call Customer Care at 1-877-883-9577 (TTY 1-800-662-1220) Monday - Friday, 8:00 a.m. - 8:00 p.m. Representatives are also available 8:00 a.m. - 8:00 p.m., Monday - Sunday, from October 1 - March 31.

Subscriber ID

First Name

Last Name

Street Address

Street Address 2

City

State

Zip Code

Email Address

Please select any/all desired materials:

Evidence of Coverage

Medicare Drug Formulary

Medicare Provider Directory

COMPLETE REQUEST

RESET FORM

Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman.

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This page last updated 11/15/2021