WELCOME CSEBA RETIREE MEMBERS
Here are some resources to help you understand your Blue Shield health plan option. For more information on additional plan options, contact your district representative.
Your Blue Shield plan option
Blue Shield 65 Plus (HMO) plan
In-network out-of-pocket costs (effective 7/1/2025)
- Deductible (individual): None
- Primary care: $10 copay/visit
- Specialist: $10 copay/ visit
- Emergency room: $50 copay/visit
- Generic drugs: $5/30-day supply
Plan highlights:
- Access to a quality network of local doctors, specialists, and hospitals
- No deductible: fixed copayments for most covered services
- Annual physical exam, preventive screenings, and most immunizations at no added cost
- Routine (non-Medicare covered) chiropractic and acupuncture services
- Access to fitness locations through SilverSneakers® Fitness (available nationwide)
Find a doctor in network
Use our virtual assistant to find a provider, including hospitals and pharmacies.
You can also browse providers by category:
- Blue Shield Medicare providers
- Medicare participating providers
- Acupuncturists and Chiropractors
- Providers outside of California for emergency services
- Providers outside of the U.S. for emergency services
Enter the first three characters of your member ID number
Pharmacy resources
Blue Shield pharmacy benefits offer convenience and savings on prescription drugs
- Access to retail pharmacies, including Safeway/Vons, Costco, CVS, and more
- No-cost shipping for prescriptions ordered through Amazon Pharmacy
- Up to 100-day supplies* at retail, specialty, and home delivery services
Additional benefits included with your plan
Access other care options
Access round-the-clock support from experts for personal, family, and work issues.
Receive health advice from registered nurses at any time.
Speak with doctors and mental health professionals by phone or video.
Visit urgent care centers when your doctor is not available, saving you time and money compared to an emergency room visit.
Jump start your well-being
Stay up-to-date on your annual exam, screenings, and immunizations.
Basic gym access through SilverSneakers® Fitness, to help you stay healthy.
Blue Shield of California is an HMO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.
*Tier 4 drugs are limited to a 100-day supply by home delivery service.
Amazon Pharmacy is independent of Blue Shield of California and is contracted by 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.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
NurseHelp 24/7 is a service mark of Blue Shield of California. NurseHelp 24/7 is a healthcare advice line. Nurses do not provide medical services for treatment or diagnosis.
LifeReferrals 24/7 is a service mark of Blue Shield of California.
You do not have to be a Costco member to use Costco pharmacies.
© 2025 Teladoc Health, Inc. All rights reserved. Teladoc and the Teladoc logo are trademarks of Teladoc Health, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA-controlled substances, non-therapeutic drugs, and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services.
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Page Last Updated 12/15/2025