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Blue Shield Retiree PPO Medicare Supplement Plan Resources

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Blue Shield Retiree PPO plan offers Medicare-eligible retirees and LTD Term employees a Medicare supplement plan that pays for services after you receive payment from Medicare. 

2022 Plan Documents

Blue Shield Retiree PPO Summary of Benefits (brochure)
Medicare health plans are not required to produce SBC plan overviews but some of Stanford's plans have provided a short-form version of their plan highlights as summaries.

Blue Shield Retiree PPO Evidence of Coverage/Summary Plan Description (long document)
An SPD or EOC is the official, detailed plan document for each plan outlining information about eligibility; costs and cost sharing; included and excluded services; claims process; procedures for filing grievances, complaints and appeals.

Plan Forms & Resources


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