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Health plan documents
Effective January 1, 2025
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.
Full EPO Zero Admit 20
+ Enhanced Rx $15/30/45 with $0 Pharmacy Deductible
With our exclusive provider organization (EPO) plans, you'll have the flexibility to see any doctor in our PPO network. However, you won't be covered for services from providers who are not in the PPO network.
Full PPO Split Deductible 20-500 80/60
+ Enhanced Rx $15/30/45 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.
Full PPO Savings Two-Tier Embedded Deductible 1800/3300/3600
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.
From routine checkups to emergencies and everything in between, we give you convenient access to a quality network of healthcare providers.
Learn moreVisit 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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Through the BlueCard
Visit any participating chiropractor in the American Specialty Health Plans of California, Inc. (ASH) provider network without a referral from your PCP.
Learn moreThe Away From Home Care program offers students, long-term travelers, workers on long-distance assignments and families living apart access to health care from Blue Shield and Blue Cross plans across the country. HMO benefits vary by state.
Learn moreProtecting your financial well-being is as important as protecting your health. This is why we offer identity protection services. These include credit monitoring, identity repair assistance and identity theft insurance. To sign up, visit www.experianidworks.com/blueshieldca. Use code BCBSCALI26 when setting up your account. Or call (866) 274-3891, Monday to Friday from 8 a.m. to 8 p.m. and Saturday and Sunday from 8 a.m. to 5 p.m.
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 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 moreBlue Shield of California members can access Maven, a program designed to give you and your partner digital and virtual support for your pregnancy and postpartum needs – at no extra cost. You can also get support if you have experienced a pregnancy loss.
Learn moreTake charge of your health. Find out what screenings, services, and immunizations are recommended for you and your family.
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 moreThis program offers in-person programs and online programs to to help you achieve your well-being goals.
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