Products for Medicare-eligible clients

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 opportunities³ that can help keep monthly plan rates even more affordable for your clients.

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

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. Available in select counties in northern California. Please refer to the Summary of Benefits/Evidence of Coverage (EOC) for plan details and eligibility requirements. 
3. Savings due to increased efficiencies from administering Medicare Supplement plans under this service pass on to the member.
 

Applying is easy

Please complete the  online application for Blue Shield of California Medicare Supplement plans, and return it by email or fax it to (844) 266-1850.

For applicants from another carrier and existing Blue Shield Medicare Supplement members:
Eligible applicants MUST use the Application for Blue Shield of California Medicare Supplement plans (Form C12687) English (PDF, 504 KB), Spanish (PDF, 238) or the Blue Shield Medicare Supplement Online Enrollment Form. Please submit the appropriate application to ensure the coverage is effective on the desired effective date. The Blue Shield of California Medicare Supplement Plan Transfer Application will not be accepted. If received, it will be pended for the correct application.

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

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

Who is eligible?

All California residents age 65 and older who are enrolled in Medicare Parts A and B at the time of application.

•  You are 65 or older
•  You are a resident of the state of California
•  You are enrolled in Medicare Parts A and B, Title 18, Public Law 89-97, at the time you apply

• You are 65 or older
• You are a resident of one of the following counties: 
  Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Kings, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo and Yuba
• You are enrolled in Medicare Parts A and B, Title 18, Public Law 89-97, at  the time you apply
   

Individuals age 64 or younger who are entitled to Medicare because of a Social Security disability (if they qualify for guaranteed acceptance) unless they have end-stage renal disease may apply to enroll if:

• You are 64 or younger
• You are enrolled in Medicare Parts A and B, Title 18, Public Law 89-97, at the time you apply
• You qualify for guaranteed acceptance in a Blue Shield of California Medicare Supplement plan according to Blue Shield’s guidelines
• You do not have end-stage renal disease

• You are a resident of the state of California

• You are a resident of one of the following counties in the state of California: 
  Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Kings, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo and Yuba

 

Medicare Advantage HMO and PPO Plans (MA-PD)

Blue Shield Medicare Advantage Plans cover the same basic benefits as Original Medicare plus Part D prescription drug coverage. Our plans include¹:

• $0 monthly plan premium and $0 deductibles, depending on the plan and geographic area.
• Monthly Part B premium reduction, depending on the plan and geographic area.
• $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, Ralphs¹. 
• Extended day supply fill options: 
   -  90-day supply available for maintenance medications on tiers 2 - 4 
   -  100-day supply available for maintenance medications on tier 1 
• $0 copay for SilverSneakers® fitness and wellness programs, depending on the plan. 
• Additional 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. Please note this is not available to Blue Shield AdvantageOptimum Plan (HMO)², Blue Shield AdvantageOptimum Plan 1 (HMO)², Blue Shield AdvantageOptimum Plan 2 (HMO)², Blue Shield TotalDual Plan (HMO D-SNP)², Blue Shield Inspire (HMO D-SNP) and Blue Shield Coordinated Choice Plan (HMO)².
• Doctors on-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 acupuncture, depending on plan and geographic area.
• Routine chiropractic services, depending on plan and geographic area.
• Greater Independence and Safe Mobility with AAA  in select plans in Northern California¹.
• New! 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 Blue Shield AdvantageOptimum Plan: $0 copay for preferred generic drugs in-network preferred pharmacy. Refer to the Summary of Benefits for a complete description of benefits. Preferred cost-sharing is not available for Blue Shield Coordinated Choice Plan and Blue Shield TotalDual Plan, Blue Shield Inspire (HMO D-SNP). 

Who is eligible?

• California residents who have both Medicare Part A and Part B and live in our geographic plan service area
• Individuals who are United States citizens or are lawfully present in the United States

 

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.

Who is eligible?

• California residents who have Medicare Part A or Medicare Part B (or have both Medicare Part A and Part B)
• Individuals who are United States citizens or are lawfully present in the United States
• Residents in the state of California 

Get a quote 

• Check status of Blue Shield applications 
• Find rates for each plan and region 
• Compare 2022 plans & enroll 

Producer resources and selling tools​

• Enrollment
• MA-PD and PDP certification site
• MA-PD and PDP resources page
• Sales and marketing collateral
• Manage your clients online
• Contact your local sales office
• Renewal
   

Blue Shield of California is an HMO, HMO D-SNP, PPO and PDP plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.

Blue Shield of California is an independent member of the Blue Shield Association. 

Page last updated 3/31//2022

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