Whether your clients are looking for drug coverage to complement their Medicare Supplement plan or a standalone Medicare prescription drug plan, you can offer a Blue Shield plan that fits their needs.
|Effective January 1, 2021||Blue Shield Rx Plus (PDP)||Blue Shield Rx Enhanced (PDP)|
|Deductible||$445 (Tier 1 Preferred Generic Drugs are excluded from the deductible)||$0|
|Pharmacies with preferred cost-sharing2 Albertson/Osco/Savon, Costco, CVS Pharmacy (including CVS Pharmacy at Target), Safeway, Vons, Walmart, and Ralphs|
|Tier 1 Preferred Generic Drugs||$2 copay||$2 copay|
|Tier 2 Generic Drugs||$6 copay||$7 copay|
|Tier 3 Preferred Brand Drugs||$39 copay||$43 copay|
|Tier 4 Non-Preferred Drugs||41% coinsurance||33% coinsurance|
|Tier 5 Specialty Tier Drugs||25% coinsurance||33% coinsurance|
Copays and coinsurance amounts are for a 30-day supply at pharmacies with preferred cost-sharing.
Selling our 2021 MA-PD and PDP plans
You can market and sell our MAPD and PDP plans during the Medicare Annual Enrollment Period from October 15 to December 7. During the Medicare Open Enrollment Period from January 1 to March 17 you can discuss:
Earn market competitive commissions on every sale. This includes sales outside of the Medicare Annual Enrollment and Open Enrollment, to individuals who are new to Medicare and eligible for a Special Enrollment Period who are still able to enroll. Remember, you must be certified each year through AHIP and pass Blue Shield’s 2021 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.
Compare plans and enroll online
Offer your clients a faster and more streamlined approach to enrolling in a Blue Shield plan. Compare plans is available to them to answer questions like what ZIP code they live in and drugs they take. Simply have them go to Compare Plans to take a look.
Certified brokers will need a user name and password which will be sent to you at the end of September.
1 The Formulary and/or Pharmacy network may change at any time. Members will receive notice when necessary.
Blue Shield of California is an HMO, HMO D-SNP, PPO and PDP plan with a Medicare contract, a contract with the California State Medicaid Program. Enrollment in Blue Shield of California depends on contract renewal.
This information is not a complete description of benefits. Contact Producer Services at (800) 559-5905 for more information.
The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. La compañía cumple con las leyes de derechos civiles federales y estatales aplicables, y no discrimina, ni excluye ni trata de manera diferente a las personas por su raza, color, país de origen, identificación con determinado grupo étnico, condición médica, información genética, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad, ni discapacidad física ni mental. 本公司遵守適用的州法律和聯邦民權法律，並且不會以種族、膚色、原國籍、族群認同、醫療狀況、遺傳資訊、血統、宗教、性別、婚姻狀況、性別認同、性取向、年齡、精神殘疾或身體殘疾而進行歧視、排斥或區別對待他人。
Page last update: 1/20/2022
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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.