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    2025 Medicare materials such as the Evidence of Coverage, pharmacy directories, FAQ’s, and star rating are coming soon. If you have questions, please contact your Broker Manager.

Help Prescription Drug Plan (PDP) clients

Here are PDF resources that can help you manage your existing Blue Shield of California Prescription Drug Plan clients in our plans for Medicare beneficiaries.

Including:

  • Evidence of Coverage documents
  • Star ratings
  • Pharmacy directories
  • Formularies
  • Change of plan and disenrollment forms

 

Please note:
All materials you need for enrollment are located on the Arvato Storefront.

 

The following browsers have been found to provide the best experience on the Blue Shield of California website: Google Chrome, Safari, Microsoft Edge, or Mozilla Firefox.

 

2026 Evidence of Coverage

2026 Blue Shield Rx Plus (PDP) English (PDF, X MB) Coming soon
Spanish (PDF, X MB) Coming soon
2026 Blue Shield Rx Enhanced (PDP English (PDF, X MB) Coming soon
Spanish (PDF, X MB) Coming soon

2026 Star ratings

Blue Shield PDP Medicare Star ratings* English (PDF, X KB)
Spanish (PDF, X KB)

*Every year, Medicare evaluates plans based on a 5-star rating system.

2026 Pharmacy directories

2026 Blue Shield Rx Plus (PDP) and Blue Shield Rx Enhanced (PDP)

English (PDF, 2.5 MB)

Español (PDF, 2.8 MB)

2026 Formularies

2026 Change of plan and disenrollment forms

PDP Change of plan form English (PDF, 167 KB)
Spanish (PDF, 206 KB)
PDP disenrollment form English (PDF, 60 KB)
Spanish (PDF, 96 KB)

2025 Evidence of Coverage

2025 Blue Shield Rx Plus English (PDF, 808 KB)
Spanish (PDF, 796 KB)
2025 Blue Shield Rx Enhanced English (PDF, 744 KB)
Spanish (PDF, 788 KB)

2025 Star ratings

Blue Shield PDP Medicare Star ratings* English (PDF, 108 KB)
Spanish (PDF, 105 KB)

*Every year, Medicare evaluates plans based on a 5-star rating system.

2025 Pharmacy directories

2025 Blue Shield Rx Plus (PDP) and Blue Shield Rx Enhanced (PDP) English (PDF, 2.4 MB)
Spanish (PDF, 2.7 MB)

2025 Formularies

2025 Change of plan and disenrollment forms

PDP Change of plan form English (PDF, 636 KB)
Spanish (PDF, 772 KB)
PDP disenrollment form English (PDF, 58 KB)
Spanish (PDF, 60 KB)

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Y0118_25_341A_C 07142025 
H2819_25_341A_C 07142025

Page last updated: 10/1/2025

© California Physicians' Service DBA Blue Shield of California 1999-2025. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.

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