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 25
+ Enhanced Rx $15/30/45 with $0 Pharmacy Deductible
+ Chiropractic and Acupuncture Benefits Additional Coverage

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.

Trio HMO 20
+ Enhanced Rx $5/10/25 with $0 Pharmacy Deductible
+ Chiropractic and Acupuncture Benefits Additional Coverage

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
+ Enhanced Rx $5/10/25 with $0 Pharmacy Deductible
+ Chiropractic and Acupuncture Benefits Additional Coverage

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.

PPO
+ Enhanced Rx $10/30/50 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.

Dental

Dental HMO Elite 75

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.

Dental PPO

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

Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO

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
PPO

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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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Mental health and substance use disorder care
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

View your ID card, search for doctors, track your claim information, understand your benefits and more.

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NurseHelp 24/7
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

Registered nurses are available to answer your health questions at any time, every day.

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Maternity program
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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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Wellness Discount Programs
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

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
Trio HMO 25  |  Trio HMO 20  |  Access+HMO  |  PPO  |  Dental HMO Elite 75  |  Dental PPO  |  Vision Deluxe 0/0/150

This program offers in-person programs and online programs to to help you achieve your well-being goals.

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Contact Blue Shield

Member Services

Phone: (888) 256-1915

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


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