Page 72 - Appendices to Donald Pender's Evaluation
P. 72
An official website of the United States government
Here's how you know
Menu
BLUE SHIELD OF CALIFORNIA
Blue Shield 65 Plus (HMO)
Plan type: Medicare Advantage with drug coverage
Plan ID: H0504-015-0
Plan website Non-members: 1-888-534-4263 Members: 1-800-776-4466
What you'll pay
Total monthly Health Primary 2022 estimated total drug costs (lowest cost retail
premium deductible doctor pharmacy)
$0.00 $0.00 $0 $144.00
copay Covers 1 of 1 drugs
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
