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.
Open Enrollment Resources
Want to learn more?
Watch our video presentation to learn more about your 2025 health benefit offerings.
Your Blue Shield plan option
Blue Shield Medicare (PPO) plan
2025 out-of-pocket costs (network):- Deductible (In-network services): None
- Deductible (Out-of-network services): None
- Primary care office visit (In-network): $5 copay/visit
- Specialist office visit (In-network): $15 copay/visit
- Generic Drugs: $5/30-day supply
Plan highlights:
- Access to in and out-of-network Medicare participating providers
- No deductible: no copayments for most covered services
- $0 copay for virtual care medical care
- Personal Emergency Response System (PERS) from LifeStation®
- Basic gym access through SilverSneakers® Fitness, to help you stay healthy
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
Learn more on how to find Medicare providers
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Providers outside of California
Learn more on how to find Providers out of CA
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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 pharmacy benefits offer convenience and savings on prescription drugs
- Access to retail pharmacies, including Safeway/Vons, Costco, CVS, and more
- Up to 100-day supplies at retail, specialty and home delivery services
- $0 shipping from our home delivery service
Additional benefits included with your plan
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.
© 2024 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.
NurseHelp 24/7 is a service mark of Blue Shield of California.
LifeReferrals 24/7 is a service mark of Blue Shield of California.
SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers LIVE, SilverSneakers On-Demand and SilverSneakers GO are trademarks of Tivity Health, Inc. © 2024 Tivity Health, Inc. All rights reserved ©2024 Teladoc, 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. Your network providers may offer telehealth and in-office services. Contact your primary care provider, treating specialist, facility, or other health professional to learn whether telehealth is an option. Network telehealth and in-person services are subject to the same timely access to care standards. If your plan has out-of-network benefits they are subject to your plan’s cost sharing obligations and balance billing protections.
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Page Last Updated 09/25/2024