HMO Not Available SNP Includes Rx
Plan Details
Plan NameBlue Shield 65 Plus Choice Plan (HMO)
OrganizationBlue Shield of California
Legal EntityCALIFORNIA PHYSICIANS' SERVICE
Plan TypeHMO
Service AreaRiverside and San Bernardino Counties
Contract IDH0504
Plan ID040
In-Network MOOP$800
Prescription Drug CoverageYes (Part D Included)
About This Plan
Blue Shield 65 Plus Choice Plan (HMO) is a HMO Medicare plan offered by Blue Shield of California (CALIFORNIA PHYSICIANS' SERVICE). This plan is available to eligible Medicare beneficiaries in Riverside and San Bernardino Counties .
This is a Special Needs Plan (SNP) designed for Not Available beneficiaries. This plan includes Medicare Part D prescription drug coverage.
The in-network maximum out-of-pocket (MOOP) for this plan is $800, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.
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