
Blue Cross Blue Shield (BCBS) is a private insurance company that offers Medicare Advantage (Part C) plans, which combine the benefits of Original Medicare with additional services such as dental, vision, and prescription drug coverage. BCBS has been providing health insurance to over 100 million people across the US, including Puerto Rico and Washington, D.C., for more than 90 years. The company offers a range of Medicare coverage options, including Medicare Advantage and Prescription Drug Plans, to help individuals manage their healthcare needs and expenses.
| Characteristics | Values |
|---|---|
| What is Blue Shield Medicare? | A private insurance company that administers Medicare Advantage (Part C) plans on behalf of Medicare. |
| Who is eligible? | Individuals aged 65 and over, or individuals under 65 with certain disabilities or medical conditions. |
| What does it cover? | Medicare Advantage plans bundle the benefits of Original Medicare with additional benefits like vision, dental, fitness, and prescription drug coverage. |
| Where is it available? | All 50 U.S. states, as well as Washington, D.C., and Puerto Rico. |
| How to enroll? | Enrolling online is easy. Explore plans in your area and find the one that fits your needs and budget. |
| Cost | The cost varies by location and plan type. All plans require a standard Medicare Part B premium of $185 for 2025. |
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What You'll Learn

Blue Cross Blue Shield (BCBS) Medicare Advantage plans
Blue Cross Blue Shield (BCBS) is a private insurance company that offers Medicare Advantage (Part C) plans through 33 local companies across the United States, including Washington, D.C., and Puerto Rico. BCBS has been providing Medicare coverage for over 90 years and is trusted by most doctors for Medicare coverage.
BCBS's Medicare Advantage plans provide all the benefits of Original Medicare (Part A and Part B), while including additional services such as wellness programs, hearing and vision services, and prescription drug coverage. These plans can be HMOs, PPOs, Regional PPOs, or Private Fee-for-Service plans. Medicare Advantage plans also tend to have lower cost-sharing and an annual out-of-pocket maximum, which is not available through Original Medicare.
The cost of BCBS Medicare Advantage coverage varies by location and plan type. All Medicare Advantage plans require payment of the standard Medicare Part B premium, which was $185 in 2025. To explore the options available in your area, you can enter your ZIP code using Medicare's plan finder tool.
BCBS offers a range of HMO and PPO plans for Medicare Advantage coverage. Some examples include Anthem Medicare Advantage and Empire BlueCross BlueShield (HMO), which cover health, drug coverage, vision, fitness benefits, worldwide emergency, telehealth, and over-the-counter (OTC) drugs.
If you are considering a Medicare Advantage plan, BCBS is a widely accessible option with a broad network of physicians and hospitals where you can receive care.
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Blue Shield eligibility
Blue Cross Blue Shield (BCBS) is a private insurance company that administers Medicare Advantage (Part C) plans on behalf of Medicare. BCBS offers a variety of HMO and PPO plans across the United States, including Washington, D.C., and Puerto Rico.
Original Medicare is government-funded health insurance available to people aged 65 and older, as well as some people under 65 with specific medical conditions or disabilities. Medicare Advantage plans, on the other hand, are provided by private insurance companies and bundle together the benefits of Original Medicare with additional benefits like vision, dental, fitness, and prescription drug coverage.
The cost of BCBS Medicare Advantage coverage varies by location and plan type. All Medicare Advantage plans require payment of the standard Medicare Part B premium, which is $185 in 2025.
To enrol in a Blue Shield Medicare plan, you must first be enrolled in Medicare. You can enrol in Original Medicare if you are 65 or older, or if you are under 65 and have certain disabilities or medical conditions, such as End-Stage Renal Disease.
To verify eligibility and benefits for Blue Shield of California, Blue Shield of California Promise Health Plan, Federal Employee Program, and other Blue plan members, online resources and tools are available. You can also call the BlueCard® Eligibility Line at 800-676-BLUE (2583) for eligibility and benefit verifications for out-of-state Blue Cross and Blue Shield members.
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Medicare Part A and Part B
Medicare is a federal health insurance program available to eligible individuals aged 65 and over, as well as some people under 65 with certain disabilities or medical conditions. It has different parts, referred to as Parts A, B, C, and D, each designed to address specific healthcare needs.
Part B covers doctor visits and generally includes standard premiums, deductibles, and cost-sharing amounts that change annually on January 1st. Both Part A and Part B have insurance deductibles and cost-sharing amounts, and you will be responsible for these costs if you choose to combine them with a stand-alone Part D plan.
Blue Cross Blue Shield (BCBS) offers Medicare Advantage (Part C) plans, which bundle the benefits of Original Medicare with additional services like vision, dental, fitness, and prescription drug coverage. BCBS also provides Medicare Supplement plans to help manage out-of-pocket expenses for services not typically covered by Original Medicare.
If you are interested in enrolling in Medicare, you can explore plans in your area to find one that fits your needs and budget. Blue Shield of California offers Medicare plans for eligible individuals, and they can guide you through the enrollment process.
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Medicare Supplement plans
Blue Cross Blue Shield (BCBS) is a network of 33 independent companies that offer Medigap plans across the United States. Medicare supplement insurance plans help pay for some of your Medicare costs that typically come out of pocket, such as deductibles, copays, and coinsurance. BCBS offers a wide variety of Medicare plans, including Medicare Advantage and Medigap options.
Blue Shield of California is an HMO, HMO D-SNP, PPO, and PDP plan with a Medicare contract and a contract with the California State Medicaid Program. Blue Shield offers a variety of Medicare Advantage and Supplement plans.
- Plan A: This is the most basic type of Medigap plan. It covers some of the copays and coinsurance associated with Medicare Part A and Part B.
- Plan B: Plan B includes the same coverage as Plan A, along with coverage of the Medicare Part A deductible.
- Plan C: Plan C is more inclusive than plans A and B. It covers the deductibles, copays, and coinsurance associated with Medicare Parts A and B, as well as foreign travel emergency care.
- Plan D: Plan D covers coinsurance and copays associated with Medicare Parts A and B. It also covers the Medicare Part A deductible and foreign travel emergencies.
- Plan N: Plan N covers the copays and coinsurance for Medicare Parts A and B. It also covers the Medicare Part A deductible and foreign travel emergencies.
There are some costs associated with Medigap plans, including BCBS plans. These costs may vary by the specific plan and your location. These costs can include monthly premiums, deductibles, copays, and coinsurance.
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Blue Shield of California
The cost of Medicare Advantage coverage varies by location and plan type. All Medicare Advantage plans require payment of the standard Medicare Part B premium, which was $185 in 2025. Blue Shield of California provides its members with access to extensive health information, well-being tools, and a network of professional physicians.
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Frequently asked questions
Blue Cross and Blue Shield companies offer Medicare Advantage (Part C) plans that bundle together the benefits of Original Medicare with additional benefits like vision, dental, fitness, and prescription drug coverage.
You can enroll in Blue Shield Medicare by contacting your local Blue Cross and Blue Shield company or by using Medicare's plan finder tool.
The cost of Blue Shield Medicare Advantage coverage varies by location and plan type. All Medicare Advantage plans require you to pay the standard Medicare Part B premium, which is $185 in 2025.










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