The 2024 Blue Shield 65 Plus, Inspire and Optimum HMO Medicare Advantage plans in California, you get a health plan with a 4-Star quality rating from CMS with no monthly premium – and that’s just the start.

Blue Shield Medicare Advantage Plans cover the same basic benefits as Original Medicare and includes Part D prescription drug coverage. Our plans can include:

• $0 monthly plan premium and $0 deductibles, depending on the plan and geographic area.
• Embedded preventive and diagnostic dental services, depending on the plan.
• $0 copay for annual wellness visits
• $0 copay for primary care physician and specialist office visits, depending on the plan.
• $0 copay for preferred generic drugs when filled at our mail service pharmacy, CVS Caremark^®, or at these select retail pharmacies that offer preferred cost-sharing: Albertsons/Osco/Savon, Costco, CVS Pharmacy^® (including CVS Pharmacy at Target), and Safeway, Vons, Walmart, Ralphs².
• Extended day supply fill options:
  –  90-day supply available for maintenance medications on tiers 2 through 4
  –  100-day supply available for maintenance medications on tier 1
• Routine dental services with varying levels of coverage, depending on the plan.
• Pay no more than $35 for a one-month supply of Part D-covered insulin products.
• $0 copay for SilverSneakers^® fitness and wellness programs, depending on the plan.
• Routine vision and hearing coverage and hearing aid benefits, depending on the plan.
• Optional Supplement Dental coverage with one of the state’s largest dentist networks.
• Physician consultation by phone or video call 24/7.
• NurseHelp 24/7^SM
• Transportation benefits (non-emergency), depending on the plan and geographic area.
• Over-the-counter items allowance, depending on the plan and geographic area.
• Personal Emergency Response System (PERS), depending on the plan and geographic area.
• Routine chiropractic services, depending on plan and geographic area.
• Independence and Safe Mobility with AAA benefit in select plans in Northern California¹.
• Monthly healthy grocery benefit in select plans¹.

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2024 Blue Shield Advantage Plans by County:

Alameda:  Inspire, Select (PPO)

Kern County:  65 Plus

Los Angeles County:  Inspire, 65 Plus, 65 Plus Plan 2, Enhanced, Advantage Optimum.

Merced County:  Inspire

Orange County:  Inspire, 65 Plus, 65 Plus Plan 2, Enhanced, Advantage Optimum, Select (PPO).

Riverside County:  65 Plus Choice, 65 Plus

San Bernardino County:  65 Plus Choice, 65 Plus

San Diego County:  65 Plus, Advantage Optimum, Select (PPO)

San Joaquin County:  Inspire

San Luis Obispo County:  65 Plus

San Mateo County:  Inspire.

Santa Barbara County:  65 Plus

Santa Clara County:  Inspire

Stanislaus County:  Inspire.

View Plans in your Area

Depending on the county, Blue Shield has a few different plans including;  65 Plus plan, Inspire and Optimum.

• $0 plan premiums.
• $0 copay for X-rays and basic lab services.
• Low or no copay for primary care doctor visits.
• Prescription drug coverage included (Part D).
• Dental, Vision and hearing coverage in most counties.
• SilverSneakers health club membership is Included at no additional cost.
• Optional – comprehensive dental for only $12.60 (HMO), or $37.90 (PPO) per month.

Plus:

• Acupuncture and Chiropractic
• Eyeglass allowance and hearing exams and services.
• Doctors on Call 24/7 by phone or video and Nurse Help line 24/7.
• SilverSneakers fitness program.
• A large network of primary care physicians and specialists to choose from.
• Thousands of prescription drugs covered
• A not-for-profit company with a dedicated Member Services team.

Coverage you can count on … All the benefits you need at a price you can afford.  A network of thousands of qualified providers.  A member satisfaction rating of 4.6 out of 5.  And a 70 year history of serving California.  You can trust Blue Shield.

• If you have any doctors or hospitals you would like me to check if they are in the Blue Shield network, just email me the name and address, I’ll be happy to check for you.

A commitment to do the right thing … Fairness, equality, compassion, accountability.  These are the values you grew up with and still hold dear.  At Blue Shield, we share those values.  We are a leading voice for making affordable, quality care available to everyone.  We’ve been named on of the worlds most ethical companies.

Most importantly, we are not-for-profit.  Blue Shield pledges to limit its net income to 2% of revenue and invests the rest back into helping improve the quality of care in local communities and making access to care more affordable.

5 reasons to get a Blue Shield Medicare Advantage HMO plan:

1. Pay no monthly plan premium, no plan deductible, and no or low copayments for many services.  There’s no monthly plan premium, no plan deductible, and no copays for basic X-rays and lab services.  There are also no or low copays for office visits to your primary care physician and for outpatient surgeries performed at an ambulatory surgery center.
2. Benefit from out comprehensive drug coverage … You’ll have Part D prescription drug coverage for generic and brand-name drugs and you can also get a three month supply of your prescriptions for the price of two by mail order and through our network of preferred pharmacies.
3. Take advantage of our large network of physicians … We have a large network of physicians, so your doctors and specialists are more than likely to be included.
4. Enjoy a basic health club membership through the SilverSneakers Fitness Program.  you’ll have access to a variety of participating locations across the country, including gyms, senior centers, aquatic centers and Curves.
5. Our members love us … Our members rate our plan 4.6 out of 5 on customer service, value, easy to use and understand, access to doctors, and access to prescription drugs.

• OTHER COMPANY PLANS:  Aetna, Anthem, Health Net, UnitedHealthcare.  Call for plan details.

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Please contact me anytime with questions.