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2027 Prescription Drug Plan Documents

2026 Plan documents

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Your Blue Shield of California Medicare Prescription Drug Plan documents are listed on this page. Here are a few key documents to help you understand your plan:

Evidence of Coverage (EOC) describes in detail the healthcare benefits your plan covers.
Summary of Benefits (SOB) is a simplified document that outlines your health benefits and coverage.
Annual Notice of Changes (ANOC) is a summary of any changes in the costs and coverage of your plan, effective every January 1.

For information on members and Blue Shield of California’s rights and responsibilities upon disenrollment, please refer to Chapter 8 in your EOC linked below.

Medicare Prescription Drug Plans (PDP)

Blue Shield Rx Plus (PDP)

Evidence of Coverage (EOC): English (PDF, 42 KB) / Español (PDF, 42 KB)
Summary of Benefits (SOB): English (PDF, 375 KB) / Español (PDF, 345 KB)
Annual Notice of Changes: English (PDF, 586 KB) / Español (PDF, 2.2 MB)
Enrollment Forms: English (PDF, 145 KB) / Español (PDF, 42 KB)
Pre-enrollment Checklist: English (PDF, 223 KB) / Español (PDF, 119 KB)

Blue Shield Rx Enhanced (PDP)

Evidence of Coverage (EOC): English (PDF, 42 KB) / Español (PDF, 42 KB)
Summary of Benefits (SOB): English (PDF, 375 KB) / Español (PDF, 345 KB)
Annual Notice of Changes: English (PDF, 815 KB) / Español (PDF, 1.9 MB)
Enrollment Forms: English (PDF, 145 KB) / Español (PDF, 42 KB)
Pre-enrollment Checklist: English (PDF, 223 KB) / Español (PDF, 119 KB)

Notice of Availability of Language Services and Auxiliary Aids and Services and Nondiscrimination notices, and Blue Shield PDP Star ratings

Notice of Availability of Language Services and Auxiliary Aids and Services and Nondiscrimination notice

Notice of Availability of Language Services and Auxiliary Aids and Services:
English (PDF, 1.3 MB)

Nondiscrimination notice:
English (PDF, 420 KB) / Español (PDF, 617 KB) / Chinese (Simplified) (PDF, 614 KB) / Chinese (Traditional) (PDF, 669 KB)

Blue Shield PDP Star ratings

Blue Shield PDP Medicare Star Ratings¹ English (PDF, 191 KB) / Español (PDF, 178 KB)

¹Every year, Medicare evaluates plans based on a 5-star rating system.

Please refer to our list of compatible browsers when downloading or viewing PDF documents.

You can also log into your online account and visit the Benefits section on your member dashboard.

If you want help understanding your documents, please call Blue Shield of California Medicare Prescription Drug Plan Customer Service at (888) 239-6469 (TTY: 711), 8 a.m. to 8 p.m. Pacific time, seven days a week.

For help in your language, please review the Notice of Availability of Language Assistance Services and Auxiliary Aids and Services and the Nondiscrimination notice located on this page.

Blue Shield of California is an HMO, HMO D-SNP, and a PDP plan with a Medicare contract and a contract with the California State Medicaid Program. Enrollment in Blue Shield of California depends on contract renewal.

Y0118_26_179D_C Accepted 08222026
H2819_26_179D_C Accepted 08222026

Page last updated: 10/1/2026

* Blue Shield Medicare Advisors are available October 1 through March 31 from 8 a.m. to 8 p.m. PT, seven days a week and April 1 through September 30 from 8 a.m. to 8 p.m. PT on weekdays.

† All downloads are free with no obligation to enroll. .

Blue Shield of California is an independent member of the Blue Shield Association.

Blue Shield of California 601 12th Street, Oakland, CA 94607.

Nondiscrimination Notice

The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. La compañía cumple con las leyes de derechos civiles federales y estatales aplicables, y no discrimina, ni excluye ni trata de manera diferente a las personas por su raza, color, país de origen, identificación con determinado grupo étnico, condición médica, información genética, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad, ni discapacidad física ni mental. 本公司遵守適用的州法律和聯邦民權法律，並且不會以種族、膚色、原國籍、族群認同、醫療狀況、遺傳資訊、血統、宗教、性別、婚姻狀況、性別認同、性取向、年齡、精神殘疾或身體殘疾而進行歧視、排斥或區別對待他人。