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Health plan documents
Effective January 1, 2025
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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.

Medical plans

Blue Shield Access+ HMO
+ Custom HMO Rx
+ Eye Exam
+ Custom Chiro/Acu Rider
+ Custom Infertility Rider

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.

Blue Shield PPO
+ Custom PPO Rx
+ Eye Exam
+ Custom Infertility Rider

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.

Blue Shield PPO Savings
+ Eye Exam
+ Custom Infertility Rider

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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BlueCard and Away From Home Care for HMO plans

As a Blue Shield of California HMO member, you can take your healthcare benefits with you when you’re 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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BlueCard and Away From Home Care for PPO plans

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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Coverage for students or families living apart

The 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.

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ID theft protection

Protecting 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 BCBSCALI24 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.

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LifeReferrals 24/7

Experienced 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.

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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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Maternity program

Blue 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.

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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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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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Pharmacy benefits
Getting started with Amazon Pharmacy

Skip traditional pharmacy lines, enjoy upfront pricing, and easily order medications online with Amazon Pharmacy.

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Contact us

Member Services

Phone: (855) 599-2650

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


Member Services

Phone: (855) 599-2657

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


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