All of 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.
You can use plan documents to help you understand your plan.
Evidence of Coverage (EOC) describes in detail the healthcare 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 each January 1.
Please note: If you are a member transitioning to a new plan on January 1, 2023, please look for your ANOC in your new plan’s section below.
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 TotalDual Plan (HMO D-SNP) and Blue Shield Inspire (HMO D-SNP) Customer care at: (800) 452-4413 (TTY: 711), 8 a.m. to 8 p.m., seven days a week.
- For help in your language, please review the Multilanguage Notice and the Nondiscrimination Notice located for download on this page.
