Welcome, Max Comp
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.
Platinum Access+ HMO® 0/25 OffEx
+ Additional Infertility Treatment Benefits (Small Business HMO)
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 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.
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.
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.
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 HMO plans, there is no deductible or plan maximum, and you only pay a copay for most services. However, you must choose a dental provider withint the HMO network.
Smile In-Network Only Dental Plan 50/2500/Endo-Perio 80%/Ortho
Dental INO plans offer lower monthly premiums than our PPO dental plans and include direct access to a large network of dentists and specialists without referrals. Many Dental INO plans also include orthdontic coverage. You dental provider can request a pre-treatment estimate to find out how much your plan will pay.
Smile Basic Voluntary 75/1000/No Ortho/MAC
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.
Ultimate Vision Plus for Small Business 0/0/150/120
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.
Group life and AD&D insurance, $15,000
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.
HMO and PPO Member Services
Phone: (888) 319-5999
8 a.m. to 5 p.m. PST, Monday through Friday
Dental HMO
Member Services
Phone: (800) 585-8111
8 a.m. to 5 p.m. PST, Monday through Friday
Dental PPO
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
TTY
Phone: 711
The Summary of Benefits and Coverage (SBC) and Summary of Dental Benefits and Coverage (SDBC) 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.
Platinum Access+ HMO® 0/25 OffExPlatinum Trio HMO 0/25 OffEx
Silver Full PPO Savings 2000/20% OffEx
Platinum Full PPO 0/10 OffEx
