2021 Summary of benefits

You have choices for how to get your Cal MediConnect benefits. The Summary of Benefits (SOB) provides tips for comparing your options. Download a printable copy of SOB for your 2021 plan in your preferred language.

Los Angeles and San Diego Counties
English (PDF, 2MB)
Spanish (PDF, 1MB)
Chinese (Traditional) (PDF, 2MB)
Arabic (PDF, 2MB)
Armenian (PDF, 2MB)
Cambodian (Khmer) (PDF, 554KB)
Farsi (Persian) (PDF, 2MB)
Korean (PDF, 574KB)
Russian (PDF, 509KB)
Tagalog (PDF, 388KB)
Vietnamese (PDF, 493KB)

Annual Notice of Change

The Annual Notice of Change (ANOC), explains upcoming changes to your Blue Shield Promise Cal MediConnect Plan's costs and benefits that become effective in 2021.

View 2021 ANOC brochures

Member Handbook

This booklet details your Cal MediConnect health care and prescription drug coverage for the period covering January 1 to December 31, 2021.

Find the Member Handbook for your plan

H0148_20_215A Accepted 09192020

Page last updated: 10/01/2020

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Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal Government contract in California. Enrollment in Blue Shield of California Promise Health Plan depends on contract renewal.

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