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2020 Medicare plan benefits information

Blue Shield of California Promise Medicare health plans provide all the medical services and supplies offered by Original Medicare, plus coverage for needs like hearing aids and Personal Emergency Response System (PERS).

Coverage for Blue Shield of California Promise Medicare health plans vary depending on where you live, so be sure to read through your Evidence of Coverage.

Nurse Advice Line

Connect with a qualified English- or Spanish-speaking registered nurse who will listen to your health problem description, and advise whether you need to see a doctor. Free, and available 24/7.

Connect with a nurse

Prior authorizations

Find the instructions, contact information, and physician forms you need to request prior authorizations.

Find prior authorizations information

Organization determinations

Organization determinations are coverage decisions Blue Shield of California Promise Health Plan makes about whether items or services requested by a member or provider can be covered, or how much a member has to pay for covered items or services.

Review our organization determination process

Non-network coverage

As a Blue Shield Promise Medicare plan member, you must use network providers to get your medical care and services. In some cases Blue Shield of California Promise Health Plan may authorize use of non-network providers. See which services may be covered.

Learn about non-network medical and prescription drug coverage

Get reimbursement information for emergency services received outside the country

Behavioral health services

Learn about behavioral healthcare services (mental health and substance use disorders) covered by your plan, such as treatment for anxiety, depression, or other behavioral health problems. 

Learn about behavioral health services

Diabetic supply list

Blue Shield of California Promise Health Plan covers FreeStyle® blood glucose meters and test strips by Abbott Diabetes Care.

Learn about diabetic supplies

Durable medical equipment

Learn what durable medical equipment (DME) is and what your medical plan covers.

Learn about DME

Over-the-counter allowance and benefit catalog

As a Blue Shield Promise Medicare Plan member, you have an over-the-counter (OTC) benefit1, which provides you a set amount each quarter to spend on everyday health and wellness items.

View OTC benefits catalog

SilverSneakers, a free gym membership program

SilverSneakersTM is an innovative fitness program offered at no additional cost with your Blue Shield of California Medicare Advantage plan.1

Learn about SilverSneakers

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

Looking for 2019 plans information?

Visit 2019 Medicare plans site

1. Not all benefits listed are available in all plans or Counties. Benefits and copays vary by plan. See your Evidence of Coverage for details.

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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