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choice, confidence, and coverage start here.
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.
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.
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.
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.
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.
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.
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.
Bronze Tandem PPO 7500/65 OffEx
Our Tandem PPO plan offers the flexibility of a PPO plan but is typically more affordable due to a select network of providers. That said, the network includes over 65% of doctors and 90% of hospitals from our broad PPO network. This plan also offers concierge support services to help answer your questions about benefits, claims, and more.
Bronze Full PPO Savings 5700/40% OffEx
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.
Visit 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 moreAn HSA offers a useful way for you to save for medical expenses.
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 morePart of the Small Group life insurance program, LifeReferrals offers experienced professionals who can help beneficiaries with grief counseling, financial coaching, and legal assistance.
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 moreGet help managing stress, sleeping better, and more with this digital mental health treatment tool.
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 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.
Learn moreHMO and PPO Member Services
Phone: (888) 319-5999
8 a.m. to 5 p.m. PST, Monday through Friday
Shield Concierge
For all Trio HMO plans call
Phone: (855) 664-5577
7 a.m. to 7 p.m. PST, Monday through Friday
Shield Concierge
For all Tandem PPO plans call
Phone: (877) 806-7589
7 a.m. to 7 p.m. PST, Monday through Friday
The Summary of Benefits and Coverage (SBC) documents that follow are available as required by the Affordable Care Act. The linked SBC documents that appear below are in English. We provide descriptions of the Summary of Benefits (SOB) plans in Spanish to make it easier to understand the benefits of a plan. You can find the descriptions by selecting the name of the plan in the "Medical" section above.
Silver Trio HMO 2300/70 OffExGold Trio HMO 500/35 OffEx
Gold Trio HMO 0/30 OffEx
Silver Full PPO 2000/60 OffEx
Gold Full PPO 750/30 OffEx
Bronze Full PPO 6250/65 OffEx
Bronze Tandem PPO 7500/65 OffEx
Bronze Full PPO Savings 5700/40% OffEx
