WELCOME SFHSS RETIREE MEMBERS
Call our dedicated Customer Care line to learn more about your Blue Shield Medicare Advantage Prescription Drug (MAPD) PPO plan
(800) 370-8852.
Health plan documents
- Glossary
Summary of Benefits (SOB): This document outlines what the plan covers and how much it costs, helping you make an informed decision.
Evidence of Coverage (EOC): This is your plan document that explains in full all the terms of your plan coverage, the benefits, copays or coinsurance, exclusions, limitations and how to access coverage.
Find a doctor in network
Use our virtual assistant to find a provider, including hospitals and pharmacies.
You can also use our Advanced Provider Search Tools.
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Blue Shield Medicare In-network providers
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Medicare participating providers
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Providers outside of California
Enter XRT (the first three characters of your member ID number)
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Providers outside of the United States
Enter XRT (the first three characters of your member ID number)
Pharmacy resources
Blue Shield Medicare (PPO) plan: January 1, 2025 - December 31, 2025
Blue Shield of California is a 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.
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.
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