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

Trio HMO Per Admit 20-300
+ Enhanced Rx $10/30/50 with $0 Pharmacy Deductible
+ Additional Hearing Aid and Ancillary Equipment Benefit
+ Chiropractic and Acupuncture Benefits

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.

Access+ HMO Per Admit 20-300
+ Enhanced Rx $10/30/50 with $0 Pharmacy Deductible
+ Additional Hearing Aid and Ancillary Equipment Benefit
+ Chiropractic and Acupuncture Benefits

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 Savings Two-Tier Embedded Deductible 2000/3200/4000 with $0 HDHP Preventive Drug Benefit

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.

Vision

Eye Exam Only (Must be Enrolled in the HMO or HDHP plans)

Vision exams are important to our overall health as eye doctors can see the signs of several diseases and help avert a variety of disabilities. Our vision plans offer comprehensive benefits as well as access to one of the largest vision networks in California and nationwide. Many of the providers are conveniently located in optical centers at retail stores such as LensCrafters, Target Optical, WalMart, and Costco.

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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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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Health savings account (HSA)

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

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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 experianidworks.com/blueshieldca. Use code BCBSCALI22 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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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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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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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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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.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

Member Services

Phone: (855) 599-2657

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


Trio HMO Plan

Phone: (855) 829-3566

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


Vision Member Services

Phone: (877) 601-9083

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


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