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Medicare Advantage – Prescription Drug plan documents

All your Blue Shield of California Medicare Advantage plan documents and Medicare Star Ratings are listed on this page. These include your Evidence of Coverage (EOC), Annual Notice of Changes (ANOC), Summary of Benefits (SOB), enrollment form, enrollment checklist and multi-language notice. You can also log into your account and go to the Benefits section on your member dashboard.

If you want help understanding your documents, call Blue Shield of California Customer Care:

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_21_493A2_M ACCEPTED 12122021

Page last updated: 12/15/2021

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