Sample Medicare Plus Blue℠ PDP ID Card


Front of card            Back of card


  • Member name – Each Medicare Plus Blue PPO and Prescription Blue PDP member gets a card in his or her own name.
  • Contract number – Identifies the member record in our files for health care services. XYL=MA PPO; XYA=PDP
  • If the member has prescription drug coverage, information for pharmacy to file a drug claim.
  • Customer Service phone numbers – If you have questions about coverage or claims, call the appropriate Customer Service number.

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