Blue Shield 65 Plus health plan information
Blue Shield 65 Plus℠ (HMO) Member Services
Phone: (800) 776-4466
8 a.m to 8 p.m., seven days a week, from October 1 through February 14;
8 a.m. to 8 p.m., weekdays, from February 15 through September 30.
Phone: (800) 776-4466
8 a.m to 8 p.m., seven days a week, from October 1 through February 14;
8 a.m. to 8 p.m., weekdays, from February 15 through September 30.
Blue Shield 65 Plus (HMO)
Welcome to Blue Shield 65 Plus. We are excited to have you as a member of our health plan. Before we get started with how to use your plan, here are some things to remember about Blue Shield:
- We’ve been serving Californians for over 75 years
- As a nonprofit, we put care first
- Our Member Services team is located right here in California
Additionally, with Blue Shield 65 Plus you will only need one ID card to access healthcare services from a network of local doctors, specialists and hospitals and be able to fill prescriptions at a broad network of pharmacies. There's less paperwork for you, because we do all the coordination with Medicare.
Please refer to Blue Shield 65 Plus Evidence of Coverage for Certificated and Management or Classified, for the exact terms and conditions of coverage, including plan limitations and exclusions.
- We’ve been serving Californians for over 75 years
- As a nonprofit, we put care first
- Our Member Services team is located right here in California
Additionally, with Blue Shield 65 Plus you will only need one ID card to access healthcare services from a network of local doctors, specialists and hospitals and be able to fill prescriptions at a broad network of pharmacies. There's less paperwork for you, because we do all the coordination with Medicare.
Please refer to Blue Shield 65 Plus Evidence of Coverage for Certificated and Management or Classified, for the exact terms and conditions of coverage, including plan limitations and exclusions.
Benefits
Access to a broad range of network providers
When you enrolled in Blue Shield 65 Plus, you chose a primary care physician for you and your enrolled dependents. Did you know you can choose a different primary care physician at any time? To find a Blue Shield 65 Plus primary care physician, search for a Blue Shield 65 Plus Group physician, log in and select your plan. If you’d like to change your primary care physician, just call Blue Shield 65 Plus Member Services at (800) 776-4466[TTY: 711] 8 a.m to 8 p.m., seven days a week, from October 1 through February 14, and 8 a.m. to 8 p.m., weekdays, from February 15 through September 30.
Four things you should do now that you have Blue Shield 65 Plus:
Now that you are enrolled in Blue Shield 65 Plus, be sure to complete the steps below to take full advantage of your new plan!
1. If you are new to Medicare, schedule your Welcome to Medicare visit, and established members should schedule their Annual Wellness visit.
2. Sign up for the Mail Service Pharmacy program to fill maintenance medications. See the Pharmacy section below.
3. Register at blueshieldca.com. Find a network provider, search our formulary, access prescription drug information and much more.
4. Sign up at mywellvolution.com for tips and tricks on including healthy activities in even the busiest lifestyle.
1. If you are new to Medicare, schedule your Welcome to Medicare visit, and established members should schedule their Annual Wellness visit.
2. Sign up for the Mail Service Pharmacy program to fill maintenance medications. See the Pharmacy section below.
3. Register at blueshieldca.com. Find a network provider, search our formulary, access prescription drug information and much more.
4. Sign up at mywellvolution.com for tips and tricks on including healthy activities in even the busiest lifestyle.
Comprehensive benefits and coverage
- $20 copay for primary care physician and specialist visits
- $0 copay for ambulance services
- Emergency and urgent care both in and outside the plan service area
- Routine hearing
- Routine chiropractic coverage
- $0 copay for ambulance services
- Emergency and urgent care both in and outside the plan service area
- Routine hearing
- Routine chiropractic coverage
Pharmacy
Our mail service pharmacy
Use Blue Shield's mail service pharmacy to fill maintenance medications with stabilized dosages for the treatment of long-term conditions such as high blood pressure and receive the same cost savings you receive at a preferred cost-sharing pharmacy.
Part D prescription drug coverage
As a Blue Shield 65 Plus member, you can fill or refill your prescription drugs at a Blue Shield 65 Plus network pharmacy or use the convenient mail service pharmacy.
Network pharmacies are conveniently located in many areas and include most major retail chains. For assistance in finding a network pharmacy or to learn more about the mail service pharmacy, call your dedicated Member Services team at (800) 776-4466 [TTY: 711] 8 a.m to 8 p.m., seven days a week, from October 1 through February 14, and 8 a.m. to 8 p.m., weekdays, from February 15 through September 30., or search for pharmacies online.
You may pay less when you visit one of our network pharmacies that offer you preferred cost-sharing:
• CVS/pharmacy (including CVS Pharmacy at Target)
• Costco
• Safeway and Vons pharmacies
• Albertsons/Osco/Savon
• Ralphs
• Walmart
• And many more!
Pharmacies that offer preferred cost-sharing offer a 90-day supply of covered prescription drugs at the cost of one 30-day supply. You may still receive an extended supply of drugs at pharmacies that offer standard cost-sharing; however, you may not receive the discounted price. Not all drugs may be available in a 90-day supply, depending on the plan. Please see the plan's Formulary for details.
You may pay less when you visit one of our network pharmacies that offer you preferred cost-sharing:
• CVS/pharmacy (including CVS Pharmacy at Target)
• Costco
• Safeway and Vons pharmacies
• Albertsons/Osco/Savon
• Ralphs
• Walmart
• And many more!
Pharmacies that offer preferred cost-sharing offer a 90-day supply of covered prescription drugs at the cost of one 30-day supply. You may still receive an extended supply of drugs at pharmacies that offer standard cost-sharing; however, you may not receive the discounted price. Not all drugs may be available in a 90-day supply, depending on the plan. Please see the plan's Formulary for details.
Drug Formulary
Before you fill or refill your prescription, check to ensure your drug is on the Blue Shield 65 Plus (HMO) Group Plan Formulary. Call Blue Shield 65 Plus Member Services at (800) 776-4466 [TTY: 711] if you need assistance.
Programs
SilverSneakers® fitness program
As a Blue Shield 65 Plus member, you have access to the SilverSneakers® fitness program at no additional cost to you. Improve your health and live the life you want through this complete wellness program that gives you access to fitness classes, equipment and other amenities, a member website and social events at no additional cost.
Behavioral health benefits
Blue Shield 65 Plus behavioral health benefits include inpatient and outpatient mental health and substance abuse care for issues such as:
- Depression
- Alcohol/drug abuse
- Mental illness
- Marriage and family counseling
- Depression
- Alcohol/drug abuse
- Mental illness
- Marriage and family counseling
© Blue Shield of California 1999-2023. All rights reserved. Blue Shield of California is an independent member of the Blue Shield Association.
Blue Shield of California is an HMO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield 65 Plus 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. Blue Shield 65 Plus individual and employer group retiree plans have different service areas, benefits and provider networks. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on July 1 of each year.
Tivity Health, SilverSneakers and SilverSneakers FLEX are registered trademarks or trademarks of Tivity Health, Inc. and/or its subsidiaries and/or affiliates in the USA and/or other countries. © 2017 Tivity Health, Inc. All rights reserved. Tivity Health, Inc. is an independent company that does not provide Blue Shield of California products or services.
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Blue Shield of California is an HMO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield 65 Plus 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. Blue Shield 65 Plus individual and employer group retiree plans have different service areas, benefits and provider networks. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on July 1 of each year.
Tivity Health, SilverSneakers and SilverSneakers FLEX are registered trademarks or trademarks of Tivity Health, Inc. and/or its subsidiaries and/or affiliates in the USA and/or other countries. © 2017 Tivity Health, Inc. All rights reserved. Tivity Health, Inc. is an independent company that does not provide Blue Shield of California products or services.
H0504_17_140E 05182017