Blue Shield Medi-Gap – Supplement Plans

These plans allow you to go to ANY Doctor or Hospital that accepts Medicare 

A Medigap policy is private health insurance that helps supplement Original Medicare. This means it helps pay some of the health care costs that Original Medicare doesn’t cover (like copayments, coinsurance, and deductibles). These are “gaps” in Medicare coverage.

If you have Original Medicare and a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then your Medigap policy pays its share.   A Medigap policy is different from a Medicare Advantage Plans – Part C  (like an HMO or PPO) because those plans are ways to get Medicare benefits, (here’s a comparison of the differences) while a Medigap policy only supplements the costs of your Original Medicare benefits. Medicare.Gov Guide to Medigap *

Medicare Part A
(Hospital Insurance)

Medicare Part A Hospital coverage helps pay for care in hospitals as an inpatient,... skilled nursing facilities, hospice care, and some home health care (see publication # 10969) but not Long Term Care.  

Most people get Part A automatically when they turn age 65 at no charge, since they or a spouse paid Medicare taxes while they were working.  You need to sign up close to your 65th birthday, even if you will not be retired by that time. (If you are getting Social Security benefits when you turn 65, your Medicare Hospital Benefits - Part A - start automatically.) 

Here's a chart it's just a illustration and is NOT official  that shows what Medicare pays, the gaps in Medicare and what you may get when you add a Medi Gap Plan or Medicare Advantage to cover those gaps.

Medi Gap – Supplement Plans 

Medicare Advantage Plans – Part C

Part B (Medical Insurance)

Part B - Outpatient helps Pay For Doctors' services, outpatient hospital care, and some other medical services that Part A does not cover, such as the services of physical and occupational therapists, and some home health care see publication 10969, but not Long Term Care. Part B helps pay for these covered services and supplies when they are medically necessary.

The chart below is a very brief summary.  Check the actual Evidence of Coverage for the plan you want to enroll in, Medicare & You or actual Medicare documents.

What part b pays and what you get with Medi Gap or MAPD

Medicare Advantage Plans – Part C

Part D Rx Prescriptions.

Blue Shield

 Summary of Benefits & Provisions
Plan A, F Extra, G, G Extra & N

Explanation of what Medicare Pays and Medi Gap pays on top

Plans at a Glance 10.1.2019

Summary of Benefits 2020

July 2020 Rates

Paper Application 2020

Plan Transfer Application
Be sure to add our agent # 8914 so that we can credit for helping you
Hints to complete the plan transfer application

Enroll ONLINE

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Paper Application
MAPD Medicare Advantage

* Short Form - Transfers  65 Inspire, Plus, Choice & Trio

Medi Gap  Paper Application

set a phone, skype, Zoom or face to face complementary consultation

Get Plan Documents 
Be sure though to use THIS link to enroll, so we get paid for helping you!

Steve Video @ Blue Shield Headquarters
steve at blue shield video

Blue Shield Plan G & Extra

Medicare Medi Gap Supplement 

You get the same comprehensive benefits as Medicare Supplement Plan F, but Plan G does not cover the Part B deductible $198  amount, as required by a new law, known as  MACRA.The following savings programs are available with Plan G & Extra:

Plan G EXTRA

Blue Shield’s  newest Medicare Supplement plan has all the benefits offered by regular Plan G

PLUS  these Benefits

Highlights:

  • Over-the-Counter (OTC) items benefits: including coverage for eligible OTC health and wellness products such as cold and allergy medicines, first-aid supplies, pain relievers, and more
  • Physician consultation benefits: available by phone or video via computer or mobile app
  • Hearing aid benefits: including an annual hearing test and savings on Vista brand mid-level and premium-level hearing aids
  • Vision benefits: including coverage for the cost of eye exams, frames, eyeglass or contact lenses that are not traditionally covered by Original Medicare

See the summary of benefits in the module on below your right for more details.

F Extra  

 

 

Medi Gap A - N Chart
Click link or image to enlarge

A - N Chart   Plan F Grandfathered

NAIC Draft Chart for 2020 

What is a better choice for Me?

April 2020 Changes

Summary of changes on Blue Shield Site  

Rate schedule effective 4/1/2020

Rate schedule effective 1/1/2020 

Rate schedule effective 10/1/19

Rate schedule ending 9/30/2019

2010 Standardized Closed Plans (closed 9/30/2019) 

1990 Standardized Closed Plans (closed 5/31/2010)

1990 Standardized Closed Plans (closed 12/31/2005)

Sample Rate Change Letter  * With  Speciality duo  * Speciality Duo ONLY

 

Evidence of Coverage

Plan A, Jan. 2018 (PDF)
Plan F Extra, Oct. 2018  (PDF)
Plan G, Jan. 2018 (PDF)

Plan G Extra, Jan. 2020 (PDF)
Plan N, Jan. 2018 (PDF)

Get complete descriptions Evidences of Coverage

(Email us if the links require a password) 

Evidences of Coverage for Open Plans
Get complete descriptions of our open Medicare Supplement plans.

Plan A, Jan. 2018 (PDF)
Plan F Extra, Oct. 2018  (PDF)
Plan G, Jan. 2018 (PDF)
Plan N, Jan. 2018 (PDF)

Evidences of Coverage for 2010 Standardized Closed Plans (closed 9/30/2019)
Get complete descriptions of our closed Medicare Supplement plans effective 10/1/2019.

Plan C, Jan. 2018 (PDF)
Plan D, Jan. 2018 (PDF)
Plan F, Jan. 2018  (PDF)
High Deductible Plan F, Jan. 2019 (PDF)
Plan K, Jan. 2019 (PDF) 

Evidences of Coverage for Standardized and Pre-Standardized Closed Plans (closed prior to 5/31/2010)
Get complete descriptions of our closed Medicare Supplement plans.

Plan A (pre June 2010) (PDF)
Plan B (pre June 2010) (PDF)
Plan C (pre June 2010) (PDF)
Plan D (pre June 2010) (PDF)
Plan F (pre June 2010)  (PDF)
Plan G (pre June 2010)  (PDF)
Plan J (pre June 2010)  (PDF)
Plan K (pre June 2010)  (PDF)
Plan H Standard  (PDF)
Plan H Plus Rx  (PDF)
Plan I Standard (PDF)
Plan I Plus Rx (PDF)
Coronet Major Medicare (PDF)
Coronet Senior Standard  (PDF)
Coronet Senior Plus Rx  (PDF)
Golden Coronet Senior Standard  (PDF)
Golden Coronet Senior Plus Rx  (PDF)
Preferred Senior  (PDF)

Dental PPO plan EOC and Dental + Vision Package Policies
Dental PPO 1000 EOC (PDF)
Dental PPO 1500 EOC (PDF)
Specialty Duo Dental Policy (PDF)
Specialty Duo Vision Policy (PDF)

Closed plan rate sheets 
2010 Standardized Closed Plans (closed 5/31/2010) (PDF)
1990 Standardized Closed Plans (closed 5/31/2010) (PDF)
1990 Standardized Closed Plans (closed 12/31/2005) (PDF)

Blue Shield Dental Options for Medicare Supplement Members

Dental & Package Options

Specialty Duo Dental & Vision

Disclosure

Vision Disclosure

Dental PPO 1500 & 1K

Disclosure Form

Including Paper Enrollment Form

Child & Related Pages - Site Map 

Medi-Cal Share of Cost

If you are low income you might check out LIS - Low Income Subsidy - Extra Help to pay the Rx costs that are not covered.  LIS may also pay your Part D and Part B premiums and you might also qualify for Medi-Cal.

Part D Rx Low Income Subsidy – LIS – Extra Help

20 comments on “Blue Shield – Medi-Gap – Any Medicare Provider

    • Please review our webpage above and our webpage on Plan F Extra. The main difference in Extra or Innovative is the Hearing Aids, Vision, Teledoc, Over the Counter Medications and Help, I can’t get up. See the link above for the summary of benefits for more detail.

      Right now, Blue Shield is having a “special” and you can get into their Extra Plans, from any other Medi Gap carrier. Email us for details.

      Next year, under the Birthday rule, Extra and Innovative will be considered the same and not better. So, one would be able to switch.

      (M) New or innovative benefits, as described in subdivision (f) of Section 1358.9 and subdivision (f) of Section 1358.91, shall not be included when determining whether benefits are equal to or lesser than those provided by the previous coverage.

      Why are Medi Gap companies offered more benefits?

      One reason is a new buzz word, Social Determinants of Health. Click on the link and check it out.

  1. My wife is disabled with a brain tumor. She has plan High F. She collects SSDI and qualified for Medicare after two years of disability. She is also on Medi Cal.

    We currently pay $412.30 for Part F and the Duo Package (dental and vision), plus $86.40 for the PDP.

    Any suggestions?

    • Billing options

      Once you have enrolled in a Blue Shield Medicare Supplement plan, you have several options for plan dues payment.

      1. Easy$Pay – Pay your plan dues with Blue Shield’s quick and convenient Easy$PaySM program, an automatic electronic transfer on the 1st or 15th of the month from your checking or savings account. There’s no check to write and no postage to pay. A record of your payment is included on your bank statement. Remember, if you choose this option, you can save $3 off your dues each month. Easy$Pay authorization instructions are included in the application within this enrollment kit.

      2. Quarterly billing – Blue Shield will bill you once every three months.

      3. Monthly billing – Blue Shield will send you a bill each month.

      With Options 2 and 3, the bill will tell you the date your payment is due.

      The dues you pay or the benefits you receive may change during the year. In either case, Blue Shield will always let you know at least 60 days in advance

      Source – Summary of Benefits

  2. I smoke or use tobacco just a little bit and am turning 65 next month. Do I have to pay extra?

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