Blue Shield MA-PD (HMO, PPO, and HMO D-SNP) plans

When you sell a Blue Shield Medicare Advantage Plan, your clients will have what thousands of Medicare beneficiaries in California have already discovered: all-in-one coverage that includes more than the basic benefits of Original Medicare, such as prescription drug coverage, access to a wide network of doctors, and a variety of extra benefits and services.

Blue Shield of California contracts with the Centers for Medicare and Medicaid Services (CMS) to serve Medicare beneficiaries in the following service areas:

Blue Shield Inspire (HMO)

• Los Angeles/Orange counties
• Alameda/San Mateo counties
• San Joaquin/Stanislaus/Merced/Santa Clara counties

Blue Shield 65 Plus Choice Plan (HMO)

• San Bernardino and Riverside counties.

Blue Shield 65 Plus (HMO)

• Los Angeles/Orange counties
• San Bernardino County
• Riverside County
• San Diego County
• Kern County
• San Luis Obispo/Santa Barbara counties

Blue Shield 65 Plus Plan 2 (HMO)

• Los Angeles/Orange counties

Blue Shield Enhanced (HMO)

• Los Angeles/Orange counties

Blue Shield AdvantageOptimum Plan (HMO)

• Los Angeles/Orange counties

Blue Shield AdvantageOptimum Plan 1(HMO)

• San Diego County

Blue Shield Select (PPO)

• Alameda County
• Orange/San Diego counties

Blue Shield TotalDual Plan (HMO D-SNP)

• Los Angeles/San Diego counties
• Orange/San Bernardino counties. [Note: This plan is closed to applicants in 2024.]

Blue Shield Inspire (HMO D-SNP)

• San Joaquin/Stanislaus/Merced counties.

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
• Please note, the following plan is closed to new enrollments in 2024:
  • Blue Shield TotalDual Plan (HMO D-SNP) in Orange and San Bernardino Counties

Selling our MA-PD plans

You can market and sell our MA-PD plans during the Medicare Annual Enrollment Period from October 15 to December 7. During the Medicare Advantage Open Enrollment Period from January 1 to March 31 each year, your Medicare Advantage Plan clients can:

• switch to a different Medicare Advantage Plan OR
• switch to Original Medicare (and join a separate Medicare drug plan) one time.

Earn market-competitive commissions on every sale. This includes sales outside of the Medicare Annual Enrollment and Medicare Advantage Open Enrollment, to individuals who are new to Medicare and eligible for a Special Enrollment Period. Remember, you must be certified each year through AHIP and pass Blue Shield’s product-specific training. Also, you must be individually appointed with Blue Shield or endorsed through an agency that is appointed with Blue Shield to earn commissions. Get started today.

• MA-PD and PDP Certification Site
• Rewards and Commission page

Application submission process

Submit completed MA-PD and PDP applications to Blue Shield within 24 hours of receipt from your client.**

The Centers for Medicare & Medicaid Services (CMS) requires carriers to have MA-PD and PDP applications processed and submitted to them within seven calendar days of receipt from the broker.

Submit your MA-PD applications online to enroll your clients quickly.

Our online MA-PD application shortens mailing times, reduces paperwork, and lets you submit your clients' applications to us in an instant.

The online application is pre-populated with an online application ID number, your name, and your producer number. When your client completes the application, you or your client can then submit it electronically, or print it out and mail it to us.

Fax or mail your applications:

Blue Shield of California
P.O. Box 948
Woodland Hills, CA 91365-9856
Fax: (877) 251-3660
Email: WHMembership@blueshieldca.com