Why do you need a Blue Shield Medicare Advantage - Prescription Drug plan?

Original Medicare offers basic coverage. But it does not cover all the services and supplies you need. For example, it does not cover prescription drugs, physical exams, hearing aids or routine eye care. So, a Medicare Advantage - Prescription Drug plan is an affordable alternative to Original Medicare.

MAPD plan inforgraphic

Get more out of Original Medicare, at an affordable price, with a Medicare Advantage Prescription Drug Plan.

These health plans provide all the medical services and supplies offered by Original Medicare, plus a number of extra and optional benefits coverage and much more! Some Include coverage for Hearing Aids, Vision, Personal Emergency Response System (PERS), Transportation services, Over-the-Counter supplemental benefit, 90-day supply fill options for prescription drugs and SilverSneakers Fitness program. Not all plan types and benefits are available in all areas; contact Blue Shield of California for more information.

 

Hearing aid benefits

We provide access to a hearing aid benefit, serviced by EPIC Hearing Healthcare1 (EPIC®). This benefit includes an annual routine hearing exam and coverage for Vista brand mid-level and premium-level hearing aids. In addition to the covered Vista hearing aids, members have access to other name brand hearing aids at preferred pricing.

Download EPIC provider network directory. For details, call us today for more information at (800) 963-8008 [TTY: 711].

1 Available in Blue Shield 65 Plus (HMO) in Los Angeles, Orange, San Luis Obispo, Santa Barbara, San Diego Counties, Blue Shield 65 Plus Choice Plan (HMO) in San Bernardino, Riverside Counties, and Blue Shield Inspire (HMO) in Los Angeles, Orange, Alameda, San Mateo Counties.

 

Personal Emergency Response System (PERS)

Blue Shield 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.

For details, call us today for more information at (800) 963-8008 [TTY: 711].

Available in Blue Shield 65 Plus in Los Angeles, Orange, San Luis Obispo, Santa Barbara, San Diego Counties, Blue Shield 65 Plus Choice Plan in San Bernardino, Riverside Counties, and Blue Shield Inspire in Los Angeles, Orange Counties.

 

Transportation Benefits

Blue Shield of California offers routine transportation services for non-emergent health care, such as a physician office visit. You can schedule up to 24 one-way trips per calendar year for routine transportation to plan approved health-related locations. 

You can schedule standard “curb-to-curb” rides up to six (6) months in advance or on-demand. If door-to-door assistance is required, Wheelchair Accessible Vehicles (WAV) may be requested 72 hours in advance. To access information about your transportation services, go to blueshieldca.com/rideQ.

Available in Blue Shield 65 Plus Choice Plan in Los Angeles, Orange, San Bernardino, Riverside Counties, and Blue Shield Inspire in Los Angeles, Orange Counties.

 

SilverSneakers Fitness Program

SilverSneakers® is an innovative fitness program offered at no additional cost with your Blue Shield of California Medicare Advantage plan*. SilverSneakers gives you access to 16,000+ participating locations, social events, signature classes, and workout plans. Locations include gyms, community and senior centers, YMCAs, and more.

It's easy to join, too. Simply visit SilverSneakers.com/StartHere or call (800) 776-4466 8 a.m. to 8 p.m., seven days a week from October 1 through March 31, and 8 a.m. to 8 p.m., weekdays (8 a.m. to 5 p.m., Saturday and Sunday) from April 1 through September 30.

* Not available in Blue Shield Vital in Los Angeles, Orange, San Bernardino and Riverside Counties. 

 

Over-the-Counter (OTC) items

Some of our plans also come with a benefit for over-the-counter (OTC) items which covers OTC health and wellness products including first-aid supplies, pain relievers, cough/cold and allergy medicines, and more. With this OTC benefit, you have an allowance to use once every quarter. Learn more about this benefit at blueshieldca.com/medicareOTC.

Available in Blue Shield 65 Plus in San Luis Obispo, Santa Barbara Counties, Blue Shield 65 Plus Choice Plan in San Bernardino, Riverside Counties, and Blue Shield Inspire in Los Angeles, Orange Counties.

 

90-day supply of drugs

You may save money if you obtain a 90-day supply at select retail pharmacies that offer preferred cost-sharing and our mail service pharmacy. Ask your doctor or pharmacist if your prescription is a maintenance medication. If so, ask for a 90-day supply prescription. Learn more about our pharmacy network, and the convenient ways you can fill your prescriptions here.

Note: Tier 5 drugs and opioids are only available with a 30-day supply.

 

How to get coverage

We offer Medicare Advantage - Prescription Drug Plans in Alameda, Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, Sacramento, Ventura and parts of San Luis Obispo and Santa Barbara Counties.

Coverage varies depending on where you live and which plan you select.

To find out which benefits we offer in your area, and to begin the enrollment  process, use our tool to compare plans, get a quote and apply.

Or, we can provide you with a personal Blue Shield Medicare Plan Advisor, who will answer your questions about our MA-PD plans. Call to find out more, or to enroll by phone, toll free at (800) 963-8008 [TTY: 711] 8 a.m. to 8 p.m., seven days a week, from October 1, through March 31, and 8 a.m. to 8 p.m., weekdays, from April 1 through September 30.

 

Medicare Advantage - Prescription Drug plan details

Click on the links below to learn about our plans. Download a comprehensive plan description - a document called an Evidence of Coverage - for each area and plan type, as well as a Summary of Benefits.

 

Find a doctor

For the most up-to-date listing of providers in your area visit Find a doctor tool. Be sure to select the proper Medicare Advantage HMO or PPO plan:

  • Blue Shield 65 Plus (HMO)
  • Blue Shield Trio Medicare (HMO)
  • Blue Shield 65 Plus Choice Plan (HMO) - select only for this plan located in Orange County, San Bernardino County, Riverside County and parts of Los Angeles.
  • Blue Shield Inspire (HMO) in select only for this plan located in Los Angeles, Orange, Alameda, and San Mateo Counties.
  • Blue Shield Vital (HMO) - select only for this plan located in Los Angeles, Orange, San Bernardino, and Riverside Counties.
  • Blue Shield 65 Plus (HMO) Group - select if you have coverage through your former employer group/union.
  • Blue Shield Medicare (PPO) - Alameda County

 

Download a Provider Directory 

 

If you want a printed Provider Directory mailed to you, or if you need help finding a network provider, please call (800) 963-8008 [TTY: 711] or email MemberSvcs@blueshieldca.com.

 

Download the Medicare Plan Ratings Information3.

Blue Shield 65 Plus HMO, Blue Shield 65 Plus Choice Plan and Blue Shield Trio Medicare (PDF, 94KB)

Blue Shield Medicare (PPO) (PDF, 98.5KB)

Download the multi-language insert (PDF, 249KB)