Plans for Medicare-eligible clients

Our diverse portfolio fits the needs and budgets of all members. Each product offers a variety of benefits and access to a wide range of doctors and specialists, allowing you to guide clients toward low-cost options while ensuring their access to care.

Questions? Please feel free to email your broker manager or call producer services at (800) 559-5905 (TTY: 711).
 

Medicare Supplement plans

See Dental PPO plans for Medicare Supplement Plan members.

Thank you for your help in keeping Blue Shield of California #1 by market share for individual Medicare Supplement plans in California.

We offer a streamlined portfolio of Medicare Supplement products. They range from our basic Plan A, through our mid-range Plan N and Plan G, to our most extensive plans, Plan F Extra¹ and Plan G Extra. These plans help your clients get the benefits and price points they want, along with the extra services and support they need.

Our Medicare Supplement plans enhance Original Medicare and give your clients the freedom to choose any doctor who accepts Medicare. Our Medicare Supplement plans are designed to include affordable monthly rates, basic gym access at no additional cost through SilverSneakers®, and several savings opportunities² that can help keep monthly plan rates even more affordable for your clients. Plus, Blue Shield of California Medicare Supplement plans have a 12-month rate guarantee.³

Please note, Plan F Extra and Plan G Extra do not have a high deductible option.

Your clients will have to purchase a separate Medicare prescription drug plan for Part D coverage.

See Medicare Supplement plans to learn more about plan details, affordable dues, client savings opportunities, and competitive commissions.

¹ Plan F Extra is available only to applicants who attained age 65 before January 1, 2020, or first become eligible for Medicare benefits due to disability before January 1, 2020.
² Savings due to increased efficiencies from administering Medicare Supplement plans under this service pass on to the member.
³ Rates are guaranteed for the first 12 months of coverage assuming no change in Medicare Supplement plan or residence. Guaranteed rates are also subject to age band rate increases, which take effect each year on July 1.
 

Medicare Advantage HMO and PPO Plans (MA-PD)

See Optional Supplemental Dental HMO and PPO Plans for MA-PD members (not available with all plans).

Blue Shield of California contracts with the Centers for Medicare and Medicaid Services (CMS) to offer Medicare Advantage Plans that cover the same basic benefits as Original Medicare and include Part D prescription drug coverage.

Some of our Medicare Advantage Plans can include:

• $0 monthly plan premium and $0 deductibles, depending on the plan and geographic area.
• Embedded routine preventive dental services with varying levels of coverage, depending on the plan and geographic area.
• $0 copay for annual wellness visits.
• $0 copay for primary care doctor and specialist office visits, depending on the plan.
• $0 copay for preferred generic drugs when filled at Amazon Pharmacy¹ home delivery, or at these select retail pharmacies that offer preferred cost-sharing: Albertsons/Osco/Savon, Costco, CVS Pharmacy® (including CVS Pharmacy at Target), and Safeway, Vons, Walmart, Ralphs.²
• Pay no more than $35 for a one-month supply of Part D-covered insulin products.
• SilverSneakers® fitness.
• Routine vision and hearing coverage and hearing aid benefits, depending on the plan.
• Optional Supplement Dental coverage with one of the state’s largest dentist networks, depending on the plan.
• Teladoc physician consultations by phone or video call 24/7/365.
• NurseHelp 24/7^SM  for a confidential one-on-one dialogue with a registered nurse.
• Transportation benefits³ (non-emergency), depending on the plan and geographic area.
• Over-the-counter items allowance, depending on the plan and geographic area.
• Personal Emergency Response System (PERS), depending on the plan and geographic area.
• Routine chiropractic services, depending on plan and geographic area.
• Monthly healthy grocery benefit, depending on plan.
  

¹ Blue Shield of California is an independent member of the Blue Shield Association. Amazon Pharmacy is independent of Blue Shield of California and is contracted with Blue Shield to provide home delivery of prescription medications to Blue Shield members. Members are responsible for their share of cost, as stated in their benefit plan details. Information about specific prescription drug benefits and drug benefit exclusions can be found in the member's plan documents. Members may call the customer service number on their Blue Shield member ID card if they have questions about their Blue Shield prescription drug coverage. Amazon and all related marks are trademarks of Amazon.com, Inc. or its affiliates.

² Preferred cost-sharing is not available for Blue Shield TotalDual Plan (HMO D-SNP) or Blue Shield Inspire (HMO D-SNP).

³ For non-medical transportation and VBID non-medical transportation.  

Medicare Prescription Drug Plans (PDP)

One of Blue Shield's two Medicare Prescription Drug Plans (PDP) can perfectly complement your client’s Medicare Supplement plan. We make it an easy, one-stop shopping experience for those who want a Medicare PDP and a Medicare Supplement plan from the company they trust.

NurseHelp 24/7 is a service mark of Blue Shield of California.

SilverSneakers is a registered trademark of Tivity Health, Inc.© 2024 Tivity Health, Inc. All rights reserved.