Help with Deductibles

A deductible is the initial amount members must pay in a year for applicable services. Blue Shield payments begin once the deductible has been met by the member. You may have two different deductibles: medical and pharmacy.

Once you've paid this amount, Blue Shield will pay a portion of most covered services or prescriptions on your health plan.

Deductibles vary by plan type and services. Refer to your Evidence of Coverage (EOC) or Certificate of Insurance (COI) for specific details.

An EOC or COI was sent to you when you first joined Blue Shield. If you need another copy:

  • Go to your Plan Summary page and download a copy or request that a copy be mailed to you (not available to all members).
  • Contact your Human Resource department for a copy if you have health care through your employer.
  • Call the Member Services number on your Blue Shield ID card and request that a copy be mailed to you.