Group Medicare plans centered around you
SFHSS Retiree Resources
To view more about your SFHSS retiree plan visit our dedicated webpage. Here you can learn more about your plan, find network doctors, view pharmacy information, and much more.
Want to learn more about Medicare?
Medicare is federal health insurance managed by the Centers for Medicare & Medicaid Services. It is for people aged 65 or older, some younger people with disabilities, and people with End-Stage Renal Disease.
Not Retiring at 65?
The benefits of Medicare are initially activated when you turn 65. That is when you first enroll in this federal healthcare program for seniors. But what if you are still working at the age of 65 and don’t want to officially retire?
Reasons to choose a Blue Shield Retiree health plan:
- $0 for preventive careFor Blue Shield Medicare Advantage plans, visits for recommended health screenings and preventive care are all covered.
- Urgent and emergency careFor Blue Shield Medicare Advantage plans, coverage for urgent care and ER visits across the U.S. and worldwide.
- Extensive pharmacy networkMembers with our pharmacy benefits have access to 68,000 retail pharmacies plus mail-service prescriptions.
- SilverSneakers®Many of our retiree plans cover basic gym access through SilverSneakers® Fitness, to help you stay healthy.
Blue Shield of California Group Retiree plan types
Contact your employer’s benefits administrator or labor and trust union for more information on which plan types they offer.
Group Medicare Advantage Prescription Drug Plan HMO (GMAPD-HMO)
Group Medicare Advantage HMO Plans are an all-in-one alternative to Original Medicare. These bundled options include the full benefits of Medicare Parts A and B in a single plan. They also include prescription drug coverage. With a Medicare Advantage HMO plan, In-Network providers include Blue Shield of California Medicare HMO contracted providers and Blue Card providers. For Blue Shield of California Out-of-Network providers, members can utilize any Medicare Participating provider as long as they are willing to either bill Blue Shield directly, or the local Blues plan if the member is out of state.
Group Medicare Advantage Prescription Drug Plan PPO (GMAPD- PPO)
Group Medicare Advantage PPO Plans are an all-in-one alternative to Original Medicare. These bundled options include the full benefits of Medicare Parts A and B in a single plan. They also include prescription drug coverage. With a Group Medicare Advantage PPO plan, we have 18 counties in our GMAPD-HMO service area, and In-Network providers include Blue Shield of California Medicare HMO contracted providers.
Questions to ask yourself when transitioning to Medicare
Blue Shield of California is an HMO and PPO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield of California offers individual and employer group retiree plans to Medicare beneficiaries who have Part A and Part B. Individual plans are open to all Medicare beneficiaries who reside within a plan’s specific service area. Employer group retiree plans are open only to Medicare beneficiaries who are eligible group retirees and who reside within a plan’s specific service area. Individual and employer group retiree plans have different service areas, benefits and provider networks.
Blue Shield of California is a PDP plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield of California offers individual and employer group retiree plans to Medicare beneficiaries who have Part A and/or Part B. Individual plans are open to all Medicare beneficiaries who reside within a plan’s specific service area. Employer group retiree plans are open only to Medicare beneficiaries who are eligible group retirees and who reside within a plan’s specific service area. Individual and employer group retiree plans have different service areas and benefits.
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