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2020 Blue Shield Promise Medicare Plans

Blue Shield of California Promise Health Plan is an HMO that contracts with the federal government to provide Medicare services and benefits. Our plans include: Blue Shield Promise AdvantageOptimum Plan (HMO), Blue Shield Promise AdvantageOptimum Plan 1 (HMO), Blue Shield Promise AdvantageOptimum Plan 2 (HMO), Blue Shield Promise Coordinated Choice Plan (HMO), and Blue Shield Promise TotalDual Plan (HMO D-SNP).

Blue Shield of California Promise Health Plan is dedicated to being a member-oriented managed care organization that strives to provide you the highest quality services. We have a "patients first" philosophy of care. Through coordination of care and wide access to services, Blue Shield of California Promise Health Plan brings more healthcare choices to Californians.

Get to know your plan and see what benefits are covered by your plan. You can also review plan details in the documents called Evidence of Coverage and Summary of Benefits.

If you have not found a Medicare plan yet, visit our 2020 prospects' website or compare plans and apply. If you're looking for the current year plan information, visit our 2019 plans website.

 

Blue Shield Promise Medicare Plan highlights

Prescription drugs and pharmacy benefits

Your Blue Shield Promise Medicare plan includes Part D prescription drug coverage. Learn more about the drugs covered in your plan, what pharmacies you can use to fill your prescriptions, and other pharmacy programs available to you.

Review the list of drugs covered by your plan

 

Condition management programs

Blue Shield of California Promise Health Plan has established a Disease Management Program to provide education, care coordination, and support to our members with certain chronic conditions. Participation in these programs is free and voluntary for all eligible Blue Shield of California Promise Health Plan members.

Learn more about our programs

 

Personal Emergency Response System (PERS)*

Blue Shield of California Promise Health Plan offers a medical alert monitoring system that provides access to help 24/7 at the push of a button. This benefit is available to members at no additional cost.

 

Contact Blue Shield Promise Medicare Plan

If you have any questions about your benefits, the cost for care you received from your doctor or hospital; or if you receive a bill for a service, please contact Blue Shield of California Promise Health Plan Member Services.

  Phone:(800) 544-0088 [TTY: 711], 8 a.m. – 8 p.m., seven days a week from October 1 through March 31, and weekdays, from April 1 through September 30.

  Fax: (323) 889-2100

Email us

  Blue Shield of California Promise Health Plan
Member Services
601 Potrero Grande Dr.
Monterey Park, CA 91755

Get to know your Medicare plan

Get to know your health plans: learn more about your rights and responsibilities, see how to file an appeal or a grievance, and read answers to frequently asked questions.

Get to know your plan

Read FAQs

Learn how to submit an appeal

Submit a grievance online

2020 Plan documents

Download a comprehensive plan description, get a sample member ID card, find documents in your preferred language, and get other important notices.

View 2020 Annual Notice of Change

Get Evidence of Coverage for your plan

Get other plan documents

Find a provider

Use our online tool for the most up-to-date listing of doctors, specialists, pharmacies, hospitals, behavioral health services, and vision care providers in your area. You can also download or request a copy of provider directory.

Find a provider

Get Provider Directory

Benefits information

Find information about the benefits, services, supplies, equipment, and programs covered by your plan. Learn what to do if a service or a procedure requires prior authorization.

Learn about your medical benefits

Drugs and pharmacy

Access and search our formulary. Review drug prior authorization guidelines and other medication related policies. Get pharmacy directories and learn about our mail service pharmacy and non-network coverage.

Learn about the prescription drug benefits

Find a pharmacy

Health and wellness programs and resources

Take charge of your health with our Health and Wellness member site tools. Find information on healthy living programs and educational materials on topics like being active and managing chronic conditions.

Find programs and educational materials

Access Health and wellness member site

Member resources and links

Read about our quality of care improvement initiatives, and find helpful tools, links, and resources for your Medicare plan.

Find useful resources and tools

Do you need a Medicare plan?

Get more information and learn how to enroll using the following resources:

Get 2020 plan information and enrollment instructions

Compare 2020 plans and enroll online

Find additional info, seminars and resources

Looking for 2019 plans information?

Visit 2019 Medicare plans site

* Not all benefits listed are available in all plans or Counties. Benefits and copays vary by plan.

H5928_19_536A_M Accepted 10012019

Page last updated: 9/30/2019

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Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal Government contract in California. Enrollment in Blue Shield of California Promise Health Plan depends on contract renewal.

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