Explore your plan options

Every Blue Shield plan is designed to help you discover the healthiest version of yourself. Choose from the options below to get started on your path to better health. If you need help choosing a plan or learning more about programs and services offered by Blue Shield, watch this video below or visit . blueshieldca.com/employercoverage.

Medical

Custom Trio HMO Per Admit 20-500
+ Enhanced Rx $10/20/35 with $0 Pharmacy Deductible
+ Chiropractic and Acupuncture Benefits Additional Coverage

Our Trio HMO plan is typically more affordable than other plans. It features a select network of local providers who closely coordinate your care and a concierge service to help you with everything from benefit questions to scheduling doctor’s appointments. When you enroll in the Trio HMO plan for the first time, you must choose a primary care physician (PCP) for yourself and your covered dependents. Each member of your family can choose a different physician and medical group/Independent Practice Association (IPA).

To enroll in the Trio HMO plan, you must live or work within the Trio service area.

Custom HMO Per Admit 20-500
+ Enhanced Rx $10/20/35 with $0 Pharmacy Deductible
+ Chiropractic and Acupuncture Benefits Additional Coverage

With our Access+ HMO plan, you will only pay a fixed copayment for most services. You'll also be asked to select a primary care physician (PCP) to coordinate your care and refer you to specialists and hospitals within their medical group.

Full PPO Combined Deductible 15-250 90/70
+ Enhanced Rx $10/20/35 with $0 Pharmacy Deductible

Our PPO plans offer a broad physician and hospital network, and the flexibility to see any doctor in, or out, of the plan’s network. However, PPO plans may include a deductible, which is the amount you must pay before your insurance kicks in. After you’ve met your deductible, you’ll usually pay a percentage of the cost, which is called coinsurance. Staying in network will mean you usually pay lower out of pocket costs than if you choose to go out of network.

Full PPO Savings Embedded Deductible 3200/5200

High-deductible health plans offer lower monthly premiums than our other PPO plans, but have a higher deductible. These plans qualify you for the option of opening a tax-advantaged HSA account to help save and pay for qualified medical expenses. Money added to an HSA is yours to keep and there is no use it or lose it penalty.

Resources

Health programs and services
Access to care

From routine checkups to emergencies and everything in between, we give you convenient access to a quality network of healthcare providers.

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Acupuncture services

Visit any participating acupuncturist in the American Specialty Health Plans of California, Inc. (ASH) provider network without a referral from your PCP.

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Care away from home

You are covered for emergency and urgent care services across the United States and around the world through the BlueCard® and Blue Shield Global Core programs.

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Care away from home

Through the BlueCard® and Blue Shield Global Core programs, you have access to care across the United States and urgent and emergency care around the world. You can receive urgent or emergency care from any provider. However, using a BlueCard provider can be more cost-effective.

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Chiropractic services

Visit any participating chiropractor in the American Specialty Health Plans of California, Inc. (ASH) provider network without a referral from your PCP.

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Health savings account (HSA)

An HSA offers a useful way for you to save for medical expenses.

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Mental health and substance use disorder care

You have access to virtual, inpatient and outpatient care for issues such as depression, alcohol/substance use disorder and mental illness. Find network providers now.

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Mobile app

View your ID card, search for doctors, track your claim information, understand your benefits and more.

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NurseHelp 24/7

Registered nurses are available to answer your health questions at any time, every day.

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Preventive care

Take charge of your health. Find out what screenings, services, and immunizations are recommended for you and your family.

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Shield Concierge

Get support managing your health needs for a wide range of conditions from a team specially trained on the specific health benefits and programs available to you. You’ll also receive personalized service for everything from finding a doctor to understanding benefits and claims.

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Shield Support

Get support managing your health needs for conditions such as diabetes, depression, chronic pain, cancer and others. Services include personalized health coaching, care plan development, provider coordination and more.

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Teladoc

Avoid a trip to the doctor’s office. You can get 24/7 access to board-certified doctors, available by video and phone.

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Teladoc

Speak to a licensed doctor or mental health professional online, via a mobile app or phone. You have a $0 copay per consult.

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Wellness Discount Programs

Get help saving money and living healthier with a wide range of discount programs* including fitness club memberships; acupuncture, chiropractic services and massage therapy; eye exams, frames and contact lenses; and LASIK surgery

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Wellvolution

This program offers in-person programs and online programs to to help you achieve your well-being goals.

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Wellvolution.com

Join the Wellvolution®: Set your own health goals, invite your family and friends to support you, and take your programs on the go, on any device.

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Pharmacy benefits
Transitioning to Blue Shield pharmacy benefits

We make it easy for you to transition to your new pharmacy benefits when you become a Blue Shield member.

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CVS mail service prescriptions

Receive up to a 90-day supply of covered maintenance drugs, delivered directly to you with no charge for shipping.

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Contact Blue Shield

Trio HMO Plan

Phone: (855) 829-3566

7 a.m. to 7 p.m. PST, Monday through Friday

All Other Plans

Phone: (888) 256-1915

8 a.m. to 5 p.m. PST, Monday through Friday


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