Page 64 - Appendices for Barbara Pender
P. 64
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BLUE SHIELD OF CALIFORNIA
Blue Shield Inspire (HMO)
Plan type: Medicare Advantage with drug coverage
Plan ID: H0504-043-0
Plan website Non-members: 1-888-534-4263 Members: 1-800-776-4466
Open Enrollment starts October 15
What you'll pay
Total monthly premium Health deductible Primary doctor
$0.00 $0.00 $0
copay
Overview
PREMIUMS
Total monthly premium $0.00
Health premium $0.00
Drug premium $0.00
Standard Part B premium $148.50
Part B premium reduction No
