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Blue Shield of CA Medicare – Medi-Gap – Supplement Plans

Medi Gap  plans allow you to go to ANY Doctor or Hospital that accepts Medicare 

Medi Gap aka Supplemental Introduction 

Blue Shield of California MAPD Introduction 

Blue Shield offers Medicare HMOs Medicare Advantage-Prescription Drug Plan MAPD.   MAPD  plans are mandated to cover the same basic benefits as Original Medicare plus Part D prescription drug coverage.

We offer Blue Shield Medicare Advantage plans in Los Angeles, Orange, San Bernardino, San Diego  Counties  and throughout California.

See actual Enrollment Kits including summary of benefits below  and evidence of coverage to make sure everything is up to date

  • Blue Shield 65 PlusSM (HMO),
  • Inspire, Blue Shield 65 PlusSM
  • Choice Plan (HMO) and
  • DHCS Options for Dual Eligibles - Medi Cal & Medicare

2026 Blue Shield Medicare Enrollment & FULL information & #Details

Blue Shield Medicare Enrollment & Details

Dental PPO Plan and #Dental + Vision brochure and enrollment application

speciality duo dental - vision

 

Contact Us - Ask Questions - Get More Information
[email protected] 

By submitting the information below , you are agreeing to be contacted by Steve Shorr a Licensed Sales Agent by email, texting or Zoom to discuss Medicare or other Insurance Plans as relevant to your inquiry. This is a solicitation for Insurance

 

 

Blue Shield Supplement - Medi Gap

What is Medicare A Hospital & B Outpatient?

Medicare Part A
(#Hospital Insurance)

Medicare Part A Hospital coverage helps pay for care in hospitals as an inpatient,... skilled nursing facilities, hospice care, and some home health care (see publication # 10969) but not Long Term Care.  

Most people get Part A automatically when they turn age 65 at no charge, since they or a spouse paid Medicare taxes while they were working.  You need to sign up close to your 65th birthday, even if you will not be retired by that time. (If you are getting Social Security benefits when you turn 65, your Medicare Hospital Benefits - Part A - start automatically.) 

Here's a chart it's just a illustration and is NOT official  that shows what Medicare pays, the gaps in Medicare and what you may get when you add a Medi Gap Plan or Medicare Advantage to cover those gaps

.Steve's VIDEO Explanation Comparing what Medicare pays and what you get extra with MAPD or Medi Gap

Medi Gap Plan G Part A Hospital

Medi Gap A - N #Chart
From Blue Shield Enrollment Guide
Click link or image to enlarge

Plan A - N chart a - n chart

Evidence of Coverage – Resources & Links?

Blue Shield Medi Gap Forms

Misc.

“FAQ’s

 

 

  • I’m having medically necessary treatment for varicose veins.
    •  
    • Is the procedure really medically necessary?
      • FYI Clinical Bulletin for Varicose Veins
        • Vein stripping and ligation takes about 60 to 90 minutes to perform and sometimes requires general anesthesia. Recovery time is also lengthy, usually involving two to four weeks depending on how many veins were stripped and where they were located.
        • cms.gov/ Medical Necessity Varicose Veins
      • Medicare does cover the medical treatment of varicose veins that cause symptoms and have ultrasound characteristics of chronic venous insufficiency. cleveland clinic.org/health/chronic-venous-insufficiency
    • Costs
      • Vein stripping surgery costs between $1,500 and $3,000. This cost may not include additional fees charged by the hospital or surgical center, which can increase the cost exponentially.
      • Another varicose vein-removing surgery is called ambulatory phlebectomy. During this procedure, your doctor makes tiny cuts in the skin to remove small varicose veins; usually those that are closest to the surface. The in-office procedure is done with local anesthesia and is considered much less invasive than vein stripping and ligation.
    • A physician office visit and diagnostic ultrasound are needed to determine the medical necessity of vein treatments. Patients are encouraged to try non-medical treatment options such as exercise, weight-loss, and compression stockings (20-30mmHg) prior to medical vein procedures. As varicose vein symptoms become more severe, the likelihood that Medicare will cover the cost of treatment increases dramatically. vanish leg veins.com/does-medicare-cover-varicose-vein-treatments/

Broker ONLY

 

Medicare Supplement Plan Changes for April 1, 2024

 

With current market evaluation, we have made the decision to discontinue Medicare Supplement Plan G Inspire effective 4/1/24.

 

Plan G Inspire has been in the market for 3 years and was only offered in select Northern CA counties.  Agents and members will find Medicare Supplement Plan G Extra to be the same benefits and equal or less cost, without the AAA Roadside Driver program.

 

To help you navigate this change, we sent out a Producer Alert, and attached are PDF documents for Plan G Inspire FAQ, Plan G Extra, and Medicare Supplement Plan Comparisons (G, G Extra, F Extra).  All marketing materials with Plan G Inspire will be updated by 4/1/24, including new enrollment, transfer, enrollment kits, marketing flyers, online references. It is highly recommended you read the FAQ and your Producer Alert link .

 

Current Plan G Inspire members will be notified October 1, 2024 and will be given a Special Enrollment Period to move to another supplement plan with no underwriting.

 

Plan G Extra is sold statewide and offers these same extra benefits as Plan G Inspire:

  • Over The Counter (OTC) through CVS
  • Vision
  • Acupuncture & Chiropractic
  • Teladoc
  • Hearing Aids
  • SilverSneakers
  • NurseHelp

 

Additionally, Plan G Extra offers our popular Welcome to Medicare rate savings of $25 for the first year, Auto-payment savings, Household Savings, and Dental discount. 

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