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Blue Shield 65 Plus HMO



Blue Shield HMO

At Martinez General Insurance, we are proud to offer one of the most popular Medicare Advantage plans in California, the Blue Shield 65 Plus HMO for 2014. As a non-profit corporation, Blue Shield of California has great plans that offer significant benefits at low prices. A perfect example is the Blue Shield Plus 65 that has $0 monthly premium. What’s best is that they expanded their portfolio by adding new counties (see below) in California.

The Plus 65 plan is an HMO and will require you to select a Primary Care Doctor that is In-Network that will treat you for traditional services. If and when needed, your Primary Doctor will need to refer you to a Specialist in order for you to receive treatment. In addition, the plan comes with a prescription plan or Part D at no additional cost. The approved drug list for this plan has multiple tiers and co-pays will vary depending on your county. Below you will find a brief overview of the benefits.


Summary of Benefits

County Dr Visits Drugs Hospital Premium
Los Angeles/Orange $0 PRM
$5 SPEC
Included Days 1-5: $50/Day
Days 6-90: $0/Day
* See Brochure
$0/Monthly
CHOICE PLAN-
LosAngeles/Orange
*Select Zip Codes Only
$0 PRM
$0 SPEC
Included $0 Copay
* See Brochure
$0/Monthly
San Diego $5 PRM
$10 SPEC
Included Days 1-5: $100/Day
Days 6-90: $0/Day
* See Brochure
$0/Monthly
Ventura $5 PRM
$10 SPEC
Included Days 1-5: $200/Day
Days 6-90: $0/Day
* See Brochure
$0/Monthly
Riverside $0 PRM
$10 SPEC
Included Days 1-5: $50/Day
Days 6-90: $0/Day
* See Brochure
$0/Monthly
San Bernardino $0 PRM
$5 SPEC
Included Days 1-5: $175/Day
Days 6-90: $0/Day
* See Brochure
$0/Monthly
Sacramento $8 PRM
$15 SPEC
Included Days 1-5: $200/Day
Days 6-90: $0/Day
* See Brochure
$0/Monthly
**Complete details can be found in the Summary of Benefits Brochure for each county.

Please keep in mind that the benefits and co-pay amounts listed here are only for In-Network providers of Blue Shield. As one of the largest carriers in California, Blue Shield has thousands of participating physicians and hundreds of hospitals across the state to choose from.

If you would like more details on this or any other Medicare Insurance plan please call one of our Insurance Solutions specialists to help you customize your plan based on your needs and budget.


Important Note: Benefits are only available if you are or will be enrolled in Medicare Part A & B.

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Phone: 1-800-228-4771
Email:service@martinezagent.com