Plan Documents MAPD | Blue Shield Medicare
Skip to content

We no longer support Internet Explorer


For the best experience, use the latest version of Google Chrome, Mozilla Firefox, or Microsoft Edge.

Other Browser update message


Medicare Advantage – Prescription drug plan documents

All your Blue Shield of California Medicare Advantage Plan documents, including the enrollment form, enrollment checklist, multi-language notice, and Medicare Star Ratings are listed on this page. 

Plan documents can be used to help you understand your plan. 

Evidence of Coverage (EOC) describes in detail the health care benefits covered by your plan.

Summary of Benefits (SOB) is a simplified document that summarizes your health benefits and coverage. 

Annual Notice of Changes (ANOC) is a summary of any changes in the costs and coverage of your plan, effective January 1.

You can also log into your online account and go to the “Benefits” section on your member dashboard.

If you want help understanding your documents, please call:

  • Blue Shield of California Medicare Advantage Prescription Drug Plans Customer Care at (800) 776-4466 (TTY: 711),   8 a.m. to 8 p.m., seven days a week.
  • Blue Shield Balance (HMO) Customer Care at: (888) 802-4423 (TTY: 711), 8 a.m. to 8 p.m., seven days a week.

Blue Shield 65 Plus (HMO)

Blue Shield Inspire (HMO)

Blue Shield Balance (HMO)

Blue Shield AdvantageOptimum (HMO)

Blue Shield TotalDual Plan (HMO D-SNP), Blue Shield Inspire (HMO D-SNP), and Blue Shield Coordinated Choice Plan (HMO)

Please refer to our list of compatible browsers when downloading or viewing PDF documents.

Y0118_22_204A1_M Accepted 05172022

Page last updated: 05/23/2022

Talk to a Blue Shield Medicare adviser