In Blue Shield Promise Cal MediConnect Plan, there are no premiums, deductibles, or co-pays for medical services. For prescription drug benefits, your copay will vary from $0 to $9.20 per drug, depending on your income.

To review the copayment information for Blue Shield Promise Cal MediConnect Plan, please review "What you pay for your Medicare and Medi-Cal prescription drugs" in the Blue Shield Promise Cal MediConnect Member Handbook.

How to apply for Extra Help program

To apply for Extra Help, you may:

  • Visit your local Social Security office.

  • Apply over the phone, schedule an appointment, or request a paper application.
    Phone: (800) 772-1213 (TTY: (800) 325-0778), 7 a.m. to 7 p.m., Monday through Friday

  • Apply online

  • Call Blue Shield of California Promise Health Plan Special Programs Retention Unit:
    Phone: (844) 378-4181, 8 a.m. to 5 p.m., Monday through Friday

Once you apply, you will receive an approval letter from Social Security notifying you whether you qualify to receive Extra Help. You will be required to enroll in a Medicare Prescription drug plan.

NOTE: If your application is approved, you are required to enroll in a Medicare prescription drug plan. If you do not select a plan, the Centers for Medicare & Medicaid Services will select a plan for you. The sooner you join a plan, the sooner you begin receiving benefits. To enroll in a prescription drug plan or for information about prescription drug plans in your area, call 1-800-MEDICARE ((800) 633-4227) / TTY: (877) 486-2048, or visit www.medicare.gov.

If Social Security believes you do not qualify for Extra Help, you will receive a Pre-decisional notice. After receiving this notice, you will have 10 days to visit your local Social Security office or contact them at (800) 772-1213 to provide additional information.