Medicare Prescription drug plan documents | Blue Shield Medicare
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MEDICARE

Prescription Drug plan documents

All your Blue Shield of California Medicare Prescription Drug Plan documents, including the enrollment form, enrollment checklist, multi-language notice and Medicare Star Ratings documents are listed on this page.

Plan documents can be used to help you understand your plan. 

Evidence of Coverage (EOC) describes in detail the health care benefits covered by your plan.

Summary of Benefits (SOB) is a simplified document that summarizes 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 January 1.

You can also log into your online account and go to 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 Care at (888) 239-6469 (TTY: 711), 8 a.m. to 8 p.m., seven days a week .

Medicare Prescription Drug Plans (PDP)

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

Y0118_22_204A1_M Accepted 05172022

Page last updated: 05/23/2022

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