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Health plan documents
Effective January 1, 2026
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.
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.
Custom Full Split Ded PPO 20-500 80/60
+ Enhanced Rx $15/40/70 with $0 Pharmacy Deductible
Our PPO plans offer broad physician and hospital networks, with the flexibility to see any doctor in or out of the plan’s network. PPO plans may include a deductible (amount paid before insurance kicks in), copayment (a set amount paid for a visit) or coinsurance (a percentage of the cost of a visit). Staying in-network typically means lower out-of-pocket costs than choosing to go out of network.
From routine checkups to emergencies and everything in between, we give you convenient access to a quality network of healthcare providers.
Learn moreExperienced professionals are ready to help you with personal, family, and work issues at any time. Learn more by logging in to blueshieldca.com. For more information, call LifeReferrals 24/7 toll-free, anytime, at (800) 985-2405.
Learn moreYou have access to virtual, in-person, and inpatient care to support your behavioral health. Beginning January 1, 2026, Blue Shield will directly manage the behavioral health benefit for all of our California members, including those receiving ABA services. You can use the Find a Doctor tool to look for therapists, psychologists, and other types of providers. Be sure to select the correct year for your coverage.
Learn moreView your ID card, search for doctors, track your claim information, understand your benefits and more.
Learn moreRegistered nurses are available to answer your health questions at any time, every day.
Learn moreTake charge of your health. Find out what screenings, services, and immunizations are recommended for you and your family.
Learn moreGet 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.
Learn moreAvoid a trip to the doctor’s office. You can get 24/7 access to board-certified doctors, available by video and phone.
Learn moreSpeak to a licensed doctor or mental health professional online, via a mobile app or phone. You have a $0 copay per consult.
Learn moreGet 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
Learn moreJoin 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.
Learn moreSkip traditional pharmacy lines, enjoy upfront pricing, and easily order medications online with Amazon Pharmacy.
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