Blue Shield of California
Some Blue Shield Medicare Advantage HMO clients have not received their Explanation of Benefits
We are writing to advise you that some Blue Shield Medicare Advantage HMO members have not received their Explanation of Benefits (EOB) for medical or hospital services (Part C) for June, July, August, or September of this year, which includes their total out-of-pocket expenses to date.
As a result, if members had any claims for medical or hospital services processed in that timeframe, they may be receiving separate medical EOBs for each month: June, July, August, and September. In the next few weeks, we will be mailing them a notice explaining the error, and a separate mailing with their outstanding EOBs. All monthly EOBs should be delivered on time going forward.
We apologize for the system issue that caused the mailing error and would like to reassure you that our dedicated business team has identified the cause of the error and resolved this issue.
If members have any questions or would like more information regarding a medical or hospital service on their Part C EOB, please advise them to contact our Member Services department at (800) 776-4466 [TTY 711], 7:00 a.m. – 8:00 p.m., seven days a week, from October 1 through February 14. However, after February 14, calls will be handled by our automated phone system on weekends and holidays.
We regret that this mistake occurred.
Blue Shield of California is an HMO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.