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    2025 Medicare materials such as the Evidence of Coverage, pharmacy directories, FAQ’s, and star rating are coming soon. If you have questions, please contact your Broker Manager.

Here are PDF resources that can help you manage your existing Blue Shield of California Prescription Drug Plan clients in our plans for Medicare beneficiaries.

Including:

  • Evidence of Coverage documents
  • Star ratings
  • Pharmacy directories
  • Formularies
  • Change of plan and disenrollment forms

 

Please note:
All materials you need for enrollment are located on the Arvato Storefront.

 

The following browsers have been found to provide the best experience on the Blue Shield of California website: Google Chrome, Safari, Microsoft Edge, or Mozilla Firefox.

 

2027 Evidence of Coverage

2027 Blue Shield Rx Plus (PDP) English (PDF, 2 MB) 
Spanish (PDF, 963 KB)
2027 Blue Shield Rx Enhanced (PDP) English (PDF, 1.4 MB)
Spanish (PDF, 969 KB)

2027 Star ratings

Blue Shield PDP Medicare Star ratings* English (PDF, 191 KB)
Spanish (PDF, 178 KB)

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

2027 Pharmacy directories

2027 Blue Shield Rx Plus (PDP) and Blue Shield Rx Enhanced (PDP) English (PDF, 6 MB)
Español (PDF, 6.4 MB)

2027 Formularies

2027 Change of plan and disenrollment forms

PDP Change of plan form English (PDF, 213 KB)
Spanish (PDF, 42 KB)
PDP disenrollment form English (PDF, 94 KB)
Spanish (PDF, 79 KB)

2026 Evidence of Coverage

2026 Blue Shield Rx Plus (PDP) English (PDF, 864 KB) 
Spanish (PDF, 934 KB)
2026 Blue Shield Rx Enhanced (PDP) English (PDF, 867 KB)
Spanish (PDF, 942 KB)

2026 Star ratings

Blue Shield PDP Medicare Star ratings* English (PDF, 191 KB)
Spanish (PDF, 178 KB)

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

2026 Pharmacy directories

2026 Blue Shield Rx Plus (PDP) and Blue Shield Rx Enhanced (PDP) English (PDF, 2.5 MB)
Español (PDF, 2.8 MB)

2026 Formularies

2026 Change of plan and disenrollment forms

PDP Change of plan form English (PDF, 167 KB)
Spanish (PDF, 168 KB)
PDP disenrollment form English (PDF, 60 KB)
Spanish (PDF, 58 KB)

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Page last updated: 10/1/2026