Plans for Medicare-eligible clients

Our diverse portfolio fits the needs and budgets of all members. Each product offers a variety of benefits and access to a wide range of doctors and specialists, allowing you to guide clients toward low-cost options while ensuring their access to care.

Questions? Please feel free to email your broker manager or call producer services at (800) 559-5905 (TTY: 711).
 

Medicare Supplement plans

See Dental PPO plans for Medicare Supplement Plan members.

Thank you for your help in keeping Blue Shield of California #1 by market share for individual Medicare Supplement plans in California.

We offer a streamlined portfolio of Medicare Supplement products. They range from our basic Plan A, through our mid-range Plan N and Plan G, to our most extensive plans, Plan F Extra¹ and Plan G Extra. These plans help your clients get the benefits and price points they want, along with the extra services and support they need.

Our Medicare Supplement plans enhance Original Medicare and give your clients the freedom to choose any doctor who accepts Medicare. Our Medicare Supplement plans are designed to include affordable monthly rates, basic gym access at no additional cost through SilverSneakers®, and several savings opportunities² that can help keep monthly plan rates even more affordable for your clients.

Please note, Plan F Extra and Plan G Extra do not have a high deductible option.

Since July 1, 2022, Blue Shield of California Medicare Supplement plans have a 12-month rate guarantee.³

Your clients will have to purchase a separate Medicare prescription drug plan for Part D coverage.

See Medicare Supplement plans to learn more about plan details, affordable dues, client savings opportunities, and competitive commissions.

¹ Plan F Extra is available only to applicants who attained age 65 before January 1, 2020, or first become eligible for Medicare benefits due to disability before January 1, 2020.
² Savings due to increased efficiencies from administering Medicare Supplement plans under this service pass on to the member.
³ Rates are guaranteed for the first 12 months of coverage assuming no change in Medicare Supplement plan or residence. Guaranteed rates are also subject to age band rate increases, which take effect each year on July 1.
 

Medicare Advantage HMO and PPO Plans (MA-PD)

See Optional Supplemental Dental HMO and PPO Plans for MA-PD members (not available with all plans).

Blue Shield Medicare Advantage Plans cover the same basic benefits as Original Medicare and includes Part D prescription drug coverage. Our plans can include:

• $0 monthly plan premium and $0 deductibles, depending on the plan and geographic area.
• Embedded preventive and diagnostic dental services, depending on the plan.
• $0 copay for annual wellness visits
• $0 copay for primary care physician and specialist office visits, depending on the plan.
• $0 copay for preferred generic drugs when filled at our mail service pharmacy, CVS Caremark®, or at these select retail pharmacies that offer preferred cost-sharing: Albertsons/Osco/Savon, Costco, CVS Pharmacy® (including CVS Pharmacy at Target), and Safeway, Vons, Walmart, Ralphs². 
• Extended day supply fill options:
   -  90-day supply available for maintenance medications on tiers 2 through 4
   -  100-day supply available for maintenance medications on tier 1
• Routine dental services with varying levels of coverage, depending on the plan.
• Pay no more than $35 for a one-month supply of Part D-covered insulin products.
• $0 copay for SilverSneakers® fitness and wellness programs, depending on the plan.
• Routine vision and hearing coverage and hearing aid benefits, depending on the plan.
• Optional Supplement Dental coverage with one of the state’s largest dentist networks.
• Physician consultation by phone or video call 24/7.
• NurseHelp 24/7^SM 
• Transportation benefits (non-emergency), depending on the plan and geographic area.
• Over-the-counter items allowance, depending on the plan and geographic area.
• Personal Emergency Response System (PERS), depending on the plan and geographic area.
• Routine chiropractic services, depending on plan and geographic area.
• Independence and Safe Mobility with AAA benefit in select plans in Northern California¹.
• Monthly healthy grocery benefit in select plans¹.

¹ The benefits mentioned above are part of special supplemental benefits. Not all plan members will qualify. Please refer to the Summary of Benefits/Evidence of Coverage (EOC) for plan details and eligibility requirements.
 ² Preferred cost-sharing is not available for Blue Shield TotalDual Plan (HMO D-SNP) or Blue Shield Inspire (HMO D-SNP).
 

Medicare Prescription Drug Plans (PDP)

One of Blue Shield's two Medicare Prescription Drug Plans (PDP) can perfectly complement your client’s Medicare Supplement plan. We make it an easy, one-stop shopping experience for those who want a Medicare PDP and a Medicare Supplement plan from the company they trust.

NurseHelp 24/7 is a service mark of Blue Shield of California.

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