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For help changing your Personal Physician selection or for more information about Blue Shield benefits, please contact our Northern California-based dedicated Member Services department at:

Access+ HMO / Access+ HMO (Medicare Coordinated) Member Services
(800) 642-6155
Monday to Friday, 7 a.m. to 7 p.m.


Blue Shield 65 Plus Member Services
(800) 776-4466 [TTY/TDD users call (800) 794-1099]
seven days a week, 7 a.m. to 8 p.m.


Blue Shield of California Medicare Rx Plan (PDP) questions
(888) 239-6469
[TTY/TDD users (888) 239-6482]
seven days a week, 7 a.m. to 8 p.m.


Or visit us at blueshieldca.com.


Forms
Blue Shield 65 Plus forms:

HSS Staff:
Blue Shield Commercial HMO Zips

 

 

Blue Shield 65 Plus (HMO) is a Medicare-approved HMO with a Medicare Advantage-Prescription Drug Plan contract. Blue Shield 65 Plus offers individual and employer group retiree plans to Medicare beneficiaries who are entitled to 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. Minimal copayments, restrictions and limitations apply to some services. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You must receive all routine care from plan providers. If you receive routine care from an out-of-plan provider, neither Medicare nor Blue Shield will be responsible for the costs. Blue Shield of California has a contract with the federal government that is renewed annually and the availability of coverage beyond the end of the current contract year is not guaranteed.

Blue Shield of California Medicare Rx Plan (PDP) is a Medicare-approved Prescription Drug Plan for employer groups. The plan is open to all Medicare beneficiaries who reside in the plan’s service area, are entitled to Part A or enrolled in Part B, and meet their employer group’s eligibility criteria. Minimal copayments, restrictions and limitations apply to some services. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You must use network pharmacies to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use network pharmacies. If you obtain prescription drugs from non-network pharmacies in routine circimstances, neither Medicare nor Blue Shield will be responsible for the costs. Blue Shield of California has a contract with the federal government that is renewed annually and the availability of coverage beyond the end of the current contract year is not guaranteed.

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