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Medicare AdvantageAdministrativeMedium impact

Medicare Advantage Plan Year Began January 1

CareFirst BlueCross BlueShield·MD·Provider News
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

CareFirst BlueCross BlueShield launched two new Medicare Advantage HMO plans on January 1, 2021, adding nearly 2,000 new Medicare patients in Maryland. Providers can access billing resources, formularies, and eligibility information through the CareFirst Provider Portal.

Action Required

Action needed
Immediately: Billing team should access the CareFirst Provider Portal to download updated pharmacy formularies and eligibility verification tools for the new Medicare Advantage HMO plans. Front desk staff must verify patient eligibility for CareFirst Medicare Advantage members. Contact Provider Representative for questions about billing processes for these new plans.