Medicare Prescription Payment Plan
Beginning January 1, 2025, there will be a new payment option to help Medicare members manage their out-of-pocket drug costs. There are three ways to enroll.
- Download a PDF to fill out and mail in.
English (PDF, 2.6 MB) / Español (PDF, 2.2 MB) / Chinese (PDF, 2.5 MB) - Enroll online.
- Call (833) 696-2087 (TTY: 711) between 8 a.m. and 8 p.m., seven days a week
For more information visit Medicare.gov
Or download a factsheet:
English (PDF, 2.3 MB) / Español (PDF, 860 KB) / Chinese (PDF, 2.3 MB)
Medicare Savings Programs
If you have limited income and assets, you may qualify for a Medicare Savings Program to help you pay your Medicare costs. There are four types of Medicare savings programs.
Qualified Medicare Beneficiary (QMB) Program
The QMB program helps pay for:
- Medicare Part A premiums
- Medicare Part B premiums
- Deductibles, coinsurance, copayments (for services and items Medicare covers)
Specified Low-Income Medicare Beneficiary (SLMB) Program
The SLMB program can help pay for:
- Medicare Part B premiums (You must have both Part A and Part B to qualify.)
Qualifying Individual (QI) Program
The QI program can help pay for:
- Medicare Part B premiums (You must have both Part A and Part B to qualify.)
Qualified Disabled and Working Individuals (QDWI) Program
The QDWI program can help pay for:
- Medicare Part A premiums only
Save on your Medicare Part D drug costs with Extra Help
People with limited income and resources may qualify for the Extra Help program to help pay for their Part D premiums, deductibles, and copayments. If eligible, Medicare could help pay for your drug costs. Also, those who qualify will not be subject to the coverage gap or a late-enrollment penalty.
If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, the amount of extra help you get will determine your total monthly plan premium as a member of our plan.
Download the chart to see what your monthly plan premium will be if you get extra help.
Medicare Advantage Prescription Drug Plan (MAPD) LIS Premium summary chart: English (PDF, 136 KB) / Español (PDF, 183 KB) / Chinese (PDF, 292 KB)
Prescription Drug Plan (PDP) LIS Premium summary chart: English (PDF, 153 KB) / Español (PDF, 171 KB)
Dual Special Needs Plan (HMO D-SNP) LIS Premium summary chart: English (PDF, 153 KB) / Español (PDF, 152 KB) / Arabic (PDF, 328 KB) / Armenian (PDF, 237 KB) / Chinese (Simplified) (PDF, 208 KB) / Chinese (Traditional) (PDF, 229 KB) / Farsi (PDF, 349 KB) / Khmer (PDF, 271 KB) / Korean (PDF, 220 KB) / Russian (PDF, 142 KB) / Tagalog (PDF, 181 KB) / Vietnamese (PDF, 160 KB)
How do I know if I qualify for extra help?
If you believe you qualify for Low-Income Subsidy (LIS) and are paying 100% of your premium, you can contact the resources below for more information:
- 1-800 MEDICARE (1-800 633-4227), 24 hours a day/seven days a week (except some federal holidays). TTY users can call 1-877 486-2048, 24 hours a day/seven days a week.
- The Social Security Office at 1-800 772-1213 between 8 a.m. and 7 p.m., Monday through Friday. TTY users can call 1-800 325-0778, or visit https://www.ssa.gov/benefits/medicare/prescriptionhelp.
- Your state Medicaid office
Get more information
Get a free copy of Your Guided Path to Medicare to understand your coverage options.
View informative videos to learn about Medicare and your coverage options.
Get answers to some of our most frequently asked questions about Medicare.
This is not a complete description of benefits. Current members can contact Customer Service at (800) 776-4466 (TTY: 711) for more information. Hours of operation 8 a.m. to 8 p.m., seven days a week. Members with Blue Shield of California Dual Special Needs Plans can contact (800) 452-4413 (TTY:711), 8 a.m. to 8 p.m., seven days a week.
Y0118_24_424A2_M Accepted 12242024
H2819_24_424A2_M Accepted 12242024
Page last updated: 1/1/2025
