New for 2025
Beginning January 1, 2025
You will have a new Medicare plan – the Blue Shield Medicare (PPO), a Group Medicare Advantage Prescription Drug plan (GMAPD). This new plan will replace the Medicare Medical and Prescription Drug plan you currently have. It will continue to provide comprehensive medical and prescription drug coverage while keeping your out-of-pocket expenses low.
- Access to careAccess to the same network of doctors and other health care providers you use today including providers that are part of the Blue Shield of California network of doctors and providers that accept Medicare.
- Dedicated Customer ServiceBlue Shield provides one, easy -to-use Customer Service phone number for both your medical and pharmacy benefits. You can contact them at (800) 370-8852 (TYY:711).
- Home Meal deliveryHome Meal delivery services at no cost for qualified members recovering from serious illness.
- Nationwide coverageAccess to out-of-network providers that accept Medicare nationwide.
- PERSPersonal Emergency Response System (PERS) from LifeStation®
- Pharmacy benefitsSame drug copays with a rich formulary.
- SilverSneakers ®Basic gym access through SilverSneakers® Fitness, to help you stay healthy.
- TransportationBook a ride to your doctor appointments at no cost. Each ride is applicable to plan approved health related locations and limited to 24 one-way trips per year.
Frequently asked questions
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.
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.
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.
H4937_24_647B1_C 10042024
Page last updated: 10/5/2024
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.
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.
H4937_24_647B1_C 10042024
Page last updated: 10/5/2024