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Paper Application  * Short Form - Transfers  65 Insipre, Plus, Choice & Trio
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This is an HISTORICAL page.

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Blue Shield Medicare Advantage Plan 65 Plus (HMO) & Choice (More Benefits – Fewer Providers)

Blue Shield 65 PlusSM (HMO) Summary of Benefits

  • Summary of Benefits

 

 

  • 20182019 Blue Shield 65 Plus (HMO) Los Angeles & Orange County
  • 20182019 Blue Shield 65 Plus (HMO) San Bernardino County
  • 20182019 Blue Shield 65 Plus (HMO) Riverside County
  • 20182019 Blue Shield 65 Plus (HMO) San Diego County
  • 20182019 Blue Shield 65 Plus (HMO) Ventura County
  • 2019 Blue Shield 65 Plus (HMO) San Luis Obispo and Santa Barbara counties
  • 20182019 Blue Shield 65 Plus (HMO) Fresno County
  • 2019 Blue Shield 65 Plus (HMO) Kern County  (PDF, 127.6KB)
  • 20182019 Blue Shield Trio Medicare (HMO)
  • 20182019 Blue Shield 65 Plus Choice Plan (HMO)Los Angeles & Orange County  
  • 2019 Blue Shield 65 Plus Choice Plan (HMO) San Bernardino & Riverside  

2019 Evidence of coverage

 

Rx 2019

 

 

2017, 2018  Blue Shield Medicare prescription drug plans PDP Summary of Benefits (PDF, 162KB)

2017, 2018 Blue Shield Medicare PDP Formularies

20172018 Blue Shield Medicare prescription drug plans PDP Pharmacy Directory (PDF, 406KB)

2017, 2018 Blue Shield Medicare prescription drug plan PDP Automatic Payment Form (PDF, 136KB)

For Blue Shield Medicare Basic Plan (PDP):

For Blue Shield Medicare Enhanced Plan (PDP):

 

Download Medicare Plan Ratings Information*

Download the Multi-Language Insert

Formularies

Search our lists of covered drugs to find out if your medications are covered.

 Pharmacy Directory

Search our Pharmacy Directory to find out which pharmacies are part of our network.

Applications:

2017 Blue Shield Medicare prescription drug plan (PDP) Enrollment Form

2017 Medicare Plan Ratings Information for PDP – English & Spanish

 

20172018 Blue Shield Medicare prescription drug plan (PDP) Enrollment Form

Email us for a Paper Application

Introduction to Rx Part D

blue shield ca.com

Members in a closed plan that includes prescription drug benefits will receive 2017 notices!

We are notifying the members in the following closed plans that their prescription drug coverage will be considered non-creditable in 2017, which is a change from 2016, when their prescription drug coverage was considered creditable.  This means that the coverage offered by their plan is not expected to pay out as much as standard Medicare prescription drug coverage pays.

  • Coronet Senior Plus Rx
  • Golden Coronet Senior Plus Rx

We are notifying the members in the following closed plans that their prescription drug coverage will continue to be considered non-creditable in 2017. No change from 2016.

  • Plan H Plus Rx
  • Plan I Plus Rx

This might mean that if you change plans, there would be a penalty.  Learn More

We will have 2019 information posted on 10.1.2018.   It’s a federal offense to release the information earlier to the public. 2018 Los Angeles & Orange County 2018 San Bernardino County 2018 Riverside County 2018 San Diego County 2018 Ventura County 2018  Sacramento County 2018 Fresno County 2018 Blue Shield Trio Medicare (HMO)  (Sacramento)

Print Directory’s

Vision_directory South Bay Los Angeles San Gabriel San Fernando_ Gteater Long Beach_ Gteater Los Angeles – LA_ Choice Plan Orange/Los Angeles (Partial)_CP_   Blue Shield Medicare Advantage HMO Enrollment Form 2018 Enrollment form 2018 Blue Shield Medicare Advantage HMO Change of Plan Form 2017,  2018 Blue Shield MAPD Automatic Payment Form (PDF) 2017   2018  Medicare Plan [Star]  Ratings Information for PDP – English & Spanish

Get Quotes, Details, Brochures and Apply ONLINE

For more information – Email or call us 310.519.1335

Blue Shield 65 Plus (HMO) Benefit Overview Brochure (Around 12 Pages)

2016 Los Angeles & Orange County

2016 San Bernardino & Riverside County

2016 San Diego County

2016 Ventura County

2016 Sacramento County

2016 Contra Costa County

2016 Fresno County

2016 Santa Clara County

2016 Choice Plan

Enrollment Form -pdf

Blue Shield 65 PlusSM (HMO) Summary of Benefits

2016 Los Angeles & Orange County

2016 San Bernardino & Riverside County

2016 San Diego County

2016 Ventura County

2016 Sacramento County

2016 Contra Costa County

2016 Fresno County

2016 Santa Clara County

Enrollment Form -pdf

Blue Shield 65 Plus Choice Plan (HMO) Summary of Benefits Service area is Orange County and portions of Los Angeles County Slightly better benefits and narrower provider list

2016 – Summary of Benefits – Comparison  – Plus vs Choice

 

Formularies

 

2015 & 2016 Blue Shield 65 Plus (HMO)

Resources & Links

Member Services 800.766.4466   [TTY 711]. Available 7 a.m. to 8 p.m., seven days a week, from October 1 through February 14. However, after February 14, calls are handled by an automated phone system on weekends and holidays.

Change of Plan Form 2016 Blue Shield Medicare Advantage HMO

Provider Search Directories

Instructions

Select “Medicare Advantage – Blue Shield 65 Plus (HMO)” as your plan option.

Silver Sneakers.com Wellness Tools

Blue Shield Fraud Hotline

Scope of Appointment Form authorization for face to face meetings.

Star Ratings H0504_15_153 CMS Accepted 06282015 S2468_15_153 CMS Accepted 06282015 Blue Shield of California is an HMO and PDP plan with a Medicare contract.   Enrollment in Blue Shield of California depends on contract renewal.

Provider Directories

Print directory for Inland Empire 2016  326 pages.

Help your clients live by their own plan, with one of ours.

  • Alliance Desert Physicians (EPIC)
  • Alpha Care Medical Group
  • Beaver Medical Group (EPIC)
  • Chaffey Medical Group (EPIC)
  • Desert Valley Medical Group
  • Dignity Health Medical Group – Inland Empire
  • Guardian Medical Group
  • Hemet Community Medical Group
  • Inland Valleys IPA
  • My Family Medical Group
  • Pinnacle Medical Group (EPIC)
  • Premier Healthcare IPA
  • Primecare
  • Prospect Health Corona
  • Redlands Yuca IPA Medical Group
  • Riverside Physicians Network
  • St Mary High Desert Medical Group
  • Valley Physicians Network
  • Vantage IPA

Blue Shield Financial Strength

Related Blue Shield MAPD Pages

Medi Gap