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.
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.
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.
Our Local Access+ HMO® plan is typically more affordable than other plans and features a select network of local providers. When you enroll in the Local Access+ 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 Local Access+ plan, you and your eligible dependents must enroll in the same plan and you must live or work within the Local Access+ HMO service area <
Full PPO Combined Deductible 25-250 90/60
+ Enhanced Rx $10/25/40 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 Split Deductible 35-1000 80/60
+ Enhanced Rx $10/25/40 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.
Smile(SM) Spectrum Premier Plus 50/1500/Ortho/U90
Having dental coverage offers much more than professional cleanings and cavity checks, as dentists can detect and treat gum disease which is linked to other health problems. With our Dental PPO plans, you have the flexibility to access services through both network and non-network providers, although you'll usually pay less when you use network providers. You may have to meet your plan's deductible for some services, and you may have a calendar year benefit maximum. Many Dental PPO plans also include orthdontic coverage. You dental provider can request a pre-treatment estimate to find out how much your plan will pay.
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.
Employee Basic Group Term Life Benefit 1 x salary to $200,000 max
Life insurance plans can help safeguard the future of the significant people in your life and offer them extra financial security by helping to cover immediate expenses, as well as future financial needs, such as debt, mortgage or rent, taxes, car payments, and educational, medical, and childcare expenses. You and your dependents also have access to the Travel Assistance Program, which offers worldwide travel and medical assistance services 24 hours a day, 365 days a year.
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.
Learn more
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
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 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.
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, inpatient and outpatient care for issues such as depression, alcohol/substance use disorder and mental illness. Find network providers now.
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 moreGet 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.
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 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 moreTrio HMO Plan
Phone: (855) 829-3566
7 a.m. to 7 p.m. PST, Monday through Friday
All Other Plans
Phone: (855) 599-2650
5 a.m. to 7 p.m. PST, Monday through Friday
Dental Member Services
Phone: (888) 702-4171
8 a.m. to 5 p.m. PST, Monday through Friday
Vision Member Services
Phone: (877) 601-9083
8 a.m. to 5 p.m. PST, Monday through Friday
