Health plan documents for CCPOA retirees
CCPOA Medical Plan Medicare (PPO)
CCPOA Medical Plan Medicare (PPO): January 1, 2027 - December 31, 2027
- Summary of Benefits (coming soon)
- Evidence of Coverage (coming soon)
- Provider Directory (coming soon)
Blue Shield of California Medicare Rx Plan (PDP)
Blue Shield of California Medicare Rx plan (PDP): January 1, 2027 - December 31, 2027
- Summary of Benefits (coming soon)
- Evidence of Coverage (coming soon)
- Formulary Drug List (coming soon)
- Pharmacy Directory (coming soon)
- Provider Directory (coming soon)
Blue Shield of California is a PPO and PDP plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Y0118_26_191A_M 08122026
Page Last Updated 08/13/2026