You are currently enrolled in a Blue Shield Promise Health Medicare plan. Every year, Medicare plan costs and benefits change. The Annual Notice of Change (ANOC) explains changes that go into effect on January 1, 2020. Review the brochure specific to your plan and residence area. See the full list of Blue Shield Promise Medicare service areas

ANOC for Blue Shield Promise AdvantageOptimum Plan (HMO)

Los Angeles and Orange (partial) Counties
English (PDF, 284 KB)
Spanish (PDF, 249 KB)

Santa Clara County
English (PDF, 286 KB)
Spanish (PDF, 245 KB)

Fresno County
English (PDF, 286 KB)
Spanish (PDF, 239 KB)

ANOC for Blue Shield Promise AdvantageOptimum Plan 1 (HMO)

San Diego County
English (PDF, 287 KB)
Spanish (PDF, 254 KB)

ANOC for Blue Shield Promise TotalDual Plan (HMO D-SNP)

Los Angeles County
English (PDF, 273 KB)
Spanish (PDF, 234 KB)

Orange (partial) and San Bernardino (partial) Counties
English (PDF, 265 KB)
Spanish (PDF, 232 KB)

San Diego County
English (PDF, 294 KB)
Spanish (PDF, 255 KB)

ANOC for Blue Shield Promise Coordinated Choice Plan (HMO)

All service areas
English (PDF, 257 KB)
Spanish (PDF, 223 KB)