Welcome Stanford University retirees
We're proud to serve you and those who depend on you for healthcare coverage
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Have you had your preventive care visit?
Getting your annual preventive care exam can help detect serious health issues early – when they’re often easier to treat.
Learn about your preventive care benefits and the recommended health screenings that are right for you.
Learn about your preventive care benefits and the recommended health screenings that are right for you.
Introducing PlushCare*
This new virtual care service is available to Stanford retirees.
*PlushCare is independent of Blue Shield of California and is contracted by Stanford University.
*PlushCare is independent of Blue Shield of California and is contracted by Stanford University.
2024 health plan offering for Medicare retirees
Retiree Medical plan
Under the Blue Shield Retiree Medical plan for Medicare participants, Medicare becomes the primary payer for your healthcare services, and your Blue Shield plan is your secondary payer.
Each time you need care, the Retiree Medical plan lets you choose network providers who offer their services at negotiated rates, as well as non-network providers. You pay nothing out of pocket for outpatient services with a preferred provider.
If you enroll in this plan, we encourage you to contact us about crossover billing with Medicare.
Each time you need care, the Retiree Medical plan lets you choose network providers who offer their services at negotiated rates, as well as non-network providers. You pay nothing out of pocket for outpatient services with a preferred provider.
If you enroll in this plan, we encourage you to contact us about crossover billing with Medicare.
- 2024 Retiree Medical plan documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Benefit Booklet
View claim forms
- Claim FormIf you choose to get care from a non-network provider, you’ll need to pay the provider directly for the entire cost of your care. You must submit your claim to Blue Shield for reimbursement within one year of the month you receive services. We will notify you of our coverage decision within 30 days of receiving your complete claim.
- BlueCard Worldwide Claim FormUse this form if the out-of-country provider directly billed Blue Shield of California for covered services.
- Travel Reimbursement FormSubmit this form for travel expenses that have been identified as a reimbursable expense under your health plan. These include bariatric services, gender reassignment, transplant services, and more.
- Blue Shield Prescription Drug Direct Reimbursement Claim FormIf you are part of a PPO plan that includes the Blue Shield Rx Program, use this direct reimbursement form if you have used a non-network pharmacy, or if you did not present your ID card at a network pharmacy during the first 30 days of eligibility.
- Authorization for Release of Personal & Health InformationSubmit this form to authorize Blue Shield to disclose your personal and health information according to your instructions. To protect your privacy, Blue Shield requires authorization to release your information.
Find a provider
Our virtual assistant is available to help you find a provider in the PPO network.
- Advanced provider search: Search for providers in California by multiple criteria such as gender, language, etc.
- Select the plan link below to begin your search.
- Retiree Medical plan – PPO network
Pharmacy benefits
Learn about your pharmacy benefits
Understanding your pharmacy benefits can help you save on prescription drugs.
If you take covered maintenance medications for long-term medical conditions or for chronic conditions such as diabetes, you can have a 90-day supply delivered through our mail service pharmacy. Shipping is free, and you may save on your copay. You can also get up to a 90-day supply at retail pharmacies such as CVS, Safeway, and more.
If you take covered maintenance medications for long-term medical conditions or for chronic conditions such as diabetes, you can have a 90-day supply delivered through our mail service pharmacy. Shipping is free, and you may save on your copay. You can also get up to a 90-day supply at retail pharmacies such as CVS, Safeway, and more.
Programs and services in the spotlight
Explore CredibleMind
CredibleMind is a mental health resource hub available to you at no extra cost. You can navigate by topic, including everything from stress to resilience. You'll find articles, videos, podcasts, and more.
Find a wellness discount program
Blue Shield offers a wide range of discount programs that can help you take better care of yourself. These include vision exams, hearing aids, massage therapy, acupuncture, and chiropractic services.
Are you up to date on your vaccinations?
You can get certain vaccines at a network retail pharmacy – at no extra charge.
All programs and services
- CredibleMind Mental Health Resource HubFind resources on everything from stress and anxiety to happiness and resilience.
- Fitness Your Way™Access network fitness centers on a budget you can live with.
- Identity theft protectionProtecting your financial well-being is as important as protecting your health.
- MinuteClinic®Get walk-in non-emergency health care at MinuteClinic locations across California.
- Network retail pharmacy vaccine programGet vaccines for the flu, shingles, and more at a network retail pharmacy.
- PlushCare*Get online doctor visits for primary care, mental health, and therapy.
- Preventive careLearn how your preventive care benefits can help keep you healthy.
- Wellness discount programsGet help living healthier with a wide range of discount programs.
* PlushCare is independent of Blue Shield of California and is contracted by Stanford University.
The wellness discount program services are not a covered benefit of your Blue Shield of California, Blue Shield of California Life & Health Insurance Company (Blue Shield Life), or self-insured health plan, and none of the terms or conditions of the Blue Shield, Blue Shield Life, or self-insured health plan apply. The networks of practitioners and facilities in the discount programs are managed by external program administrators, including any screening and credentialing of providers. Blue Shield does not review the services provided by discount program providers for medical necessity or efficacy, nor does Blue Shield make any recommendations, representations, claims, or guarantees regarding the practitioners, their availability, fees, services, or products. Some services offered through the discount program may already be included as part of the Blue Shield plan covered benefits. Members or self-insured plan participants should access those covered services prior to using the discount program. Members or self-insured plan participants who are not satisfied with products or services received from the discount program may use the grievance process described in their Evidence of Coverage, Disclosure Form, Evidence of Coverage and Disclosure Form, Benefit Booklet or Certificate of Insurance/ Policy. Blue Shield reserves the right to terminate this program at any time without notice.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks of Blue Shield of California.
The wellness discount program services are not a covered benefit of your Blue Shield of California, Blue Shield of California Life & Health Insurance Company (Blue Shield Life), or self-insured health plan, and none of the terms or conditions of the Blue Shield, Blue Shield Life, or self-insured health plan apply. The networks of practitioners and facilities in the discount programs are managed by external program administrators, including any screening and credentialing of providers. Blue Shield does not review the services provided by discount program providers for medical necessity or efficacy, nor does Blue Shield make any recommendations, representations, claims, or guarantees regarding the practitioners, their availability, fees, services, or products. Some services offered through the discount program may already be included as part of the Blue Shield plan covered benefits. Members or self-insured plan participants should access those covered services prior to using the discount program. Members or self-insured plan participants who are not satisfied with products or services received from the discount program may use the grievance process described in their Evidence of Coverage, Disclosure Form, Evidence of Coverage and Disclosure Form, Benefit Booklet or Certificate of Insurance/ Policy. Blue Shield reserves the right to terminate this program at any time without notice.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks of Blue Shield of California.