This Blue Shield Promise Medicare Evidence of Coverage (EOC) provides details about the Medicare health care and prescription drug coverage effective January 1 to December 31, 2020.

You may download a printable copy of the EOC for your plan and area of residence (below), or you may request a copy to be mailed to you.

See the full list of Blue Shield Promise Medicare service areas

EOC for Blue Shield Promise AdvantageOptimum Plan (HMO)

Los Angeles and Orange (partial) Counties
English (PDF, 3.2 MB)
Spanish (PDF, 3.3 MB)

Fresno County
English (PDF, 3.2 MB)
Spanish (PDF, 3.4 MB)

Santa Clara County
English (PDF, 3.3 MB)
Spanish (PDF, 3.4 MB)

Merced County (partial)
English (PDF, 3.3 MB)
Spanish (PDF, 3.3 MB)

Stanislaus County
English (PDF, 3.3 MB)
Spanish (PDF, 3.3 MB)

San Joaquin County
English (PDF, 3.3 MB)
Spanish (PDF, 3.3 MB)

EOC for Blue Shield Promise AdvantageOptimum Plan 1 (HMO)

San Diego County
English (PDF, 3.3 MB)
Spanish (PDF, 3.4 MB)

EOC for Blue Shield Promise AdvantageOptimum Plan 2 (HMO)

San Diego County
English (PDF, 3.3 MB)
Spanish (PDF, 3.4 MB)

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

All service areas
English (PDF, 3.3 MB)
Spanish (PDF, 3.4 MB)

EOC for Blue Shield Promise Coordinated Choice Plan (HMO)

All service areas
English (PDF, 3.3 MB)
Spanish (PDF, 3.5 MB)