Historical

  Blue Shield 2014 and Prior Information –

Click here for latest information

 

Historical 2018

Trio HMO Plans	Benefit Summaries	Evidence of Coverage/Policy (EOC) and blueshieldca.com/policies
Blue Shield Platinum 90 HMO	English (PDF, 498KB) Spanish (PDF, 498KB)
Blue Shield Gold 80 HMO	English (PDF, 498KB) Spanish (PDF, 498KB)
Blue Shield Silver 70 HMO	English (PDF, 498KB) Spanish (PDF, 498KB)Find a Provider, MD or Hospital
Blue Shield Silver 73 HMO	English (PDF, 498KB) Spanish (PDF, 498KB)
Blue Shield Silver 87 HMO	English (PDF, 498KB) Spanish (PDF, 498KB)
Blue Shield Silver 94 HMO	English (PDF, 498KB) Spanish (PDF, 498KB)

 

 

♦ EPO ♦ PPO.   ♦ SBC  ♦  2015 Rate Book.

We continue to improve our members’ digital experience

We’ve enhanced the blueshieldca.com account portal for our members so they can quickly and easily find relevant information specific to their plan. The updated portal has a bold new design with clear action buttons and links to popular tasks.

Along with a fresh look, members will notice clearer visuals of their plan’s annual bills, claims, remaining deductibles and copayment maximums as well as a new My Plan page that summarizes plan coverage, covered members, physicians and more. All of this information is available anywhere, anytime and on any device.

In addition, members now have access to their health information even faster with the Blue Shield mobile app’s newest improvement: fingerprint/touch ID. With the certified security of fingerprint authentication, account details are always available without the hassle of a username or password.

Communications

• We will send employers an alert via email on April 20, 2017.
• We will notify members of the portal updates via email this month and next, plus there will be a guided tour the first time they log into the new portal. ^{Email dated 4.19.2017}

New Member Brochure

• English
• Español
• 中文

 

CA Health Line 10.15.2015 Blue Shield will recalculate MLR Medical Loss Ratios and hold back rate increases on some lines of coverage.

  Blue Shield Quotes and Enrollment  ♦   Quotes from ALL Companies

We are Blue Shield Authorized Agents and are happy to help you get coverage in California (National) at no extra charge to you. Blue Shield compensates us to help you. 

Email or Call us 310.519.1335

Breaking News – Tidbits

The LA Times reports on 8.5.2015 that Blue Shield will pay out $83 million for 2014 an average of $136/policy holder and $21 million to 19,000 small employers, about $1,000.

The LA Times 3.18.2015 reports that Blue Shield has lost non-profit status.  More detail from audit 7.5.2015

Standard Formulary Rx ♦ More Formularies ♦  FAQ’s

2015 Renewals will be automatically billed by Blue Shield into the same plan.  Check out the   “ONLINE Member Renewal Tool” if you want to compare options or  use our Quote Engine and get information from ALL companies.

Benefit Summary Guide

 email.when.rates.ready.pdf                          
 Bronze_60_HSA_PPO_EOC_1-15.pdf                       
 blue.shield.individual.rate.guide.A11710_1-15.pdf     
 Blue.Shield.2015.Benefit.Summaries.A16646-PPO_1-15.pdf 
 Blue.Shield.2015.Benefit.Summaries.A16646-EPO_1-15.pdf

Jan. 1 cancellations might be delayed

Benefit Summaries EPO – EPO HSA – PPO (Los Angeles – Orange) –

Legal – Disclosure

Summary of Benefits SBC

Evidence of Coverage    2014  EPO  PPO

2014 rate book.

 

If you have a non grandfathered plan (purchased or changed after 3.2010). Blue Shield will roll you over into a new Health Care Reform Plan. Read the material carefully that you get from Blue Shield stating your options. If you would like us to help you, please feel free to get new alternative quotes. If you are not currently a client, please send (see contact info. at the right) the materials you get from Blue Shield.

 

 

Excerpt of Memo just received from BS Agent Support.

At this time we are experiencing a technical glitch within our billing system and the information you see [in the agent portal] is not correct. I apologize for the inconvenience,

 

Blue Shield Broker Blast

The past several weeks have seen an unprecedented level of activity as Californians – and Americans nationwide – purchase health insurance created through the Affordable Care Act. Multiple news outlets – such as the San Francisco Chronicle –

http://www.sfgate.com/health/article/Deadline-time-signups-for-Covered-California-jam-5365042.php

reported the huge surge in last-minute enrollments as people rushed to meet the March 31 enrollment deadline. Covered California reported record levels of traffic on its online exchange – with 234,000+ unique visitors on March 31.

The huge surge in activity has challenged the ability of the California state exchange – and our industry – to meet the demand. These conditions led Covered California to extend the application deadline to April 15 (see the link above)

http://healthreformquotes.com/individual/companies/covered-ca/fillable-pdf/

to complete an enrollment application with a certified delegate.

Given the high level of activity up to this point, we expect conditions to remain challenging through the April 15 extension. At Blue Shield, we continue to add resources to address service issues. We know this has not been an easy time for you and your clients. We want to thank you for your ongoing patience and support during this period.

We also want to thank you for working with Blue Shield. Several hundred thousand Californians have chosen Blue Shield this first open enrollment period. This is a significant accomplishment and a tribute to our relationship with the broker community.

 

Download complete descriptions of our 2014 Individual and Family (IFP) medical plans:
•PPO plans https://www.blueshieldca.com/producer/ifp/helpclients/eoc.sp#ppo
•EPO plans https://www.blueshieldca.com/producer/ifp/helpclients/eoc.sp#epo

 

March 4, 2014 letter to policy holders on contact info

Call the number on the back of your ID card, call your agent or visit https://www.blueshieldca.com/bsca/my-health-plan/resources/member-center-quick-start-guide.sp?WT.mc_id=bac-mem-center2-1496

http://www.steveshorr.com/individual_and_family/blue.shield/2014/blue.shield.service.numbers.3.4.2014.pdf

 

Hi Steve

I had submitted an easy pay form. https://www.blueshieldca.com/producer/download/public/A17018.pdf

Lesson learned : don’t submit those – do it online.

I bet the blue shield data entry staff got account numbers wrong, not just my name misspellings. Once I reentered online, ensuring correct account numbers, it went through.

 

For Covered CA, members can call 855-836-9705 to make a payment over the phone. They can also use https://service.healthplan.com/ to make their binder payment; they must use the last 4 of the ssn, dob and zip code matching the application. Binder payment and for ongoing payments, members can mail to:

PO Box 60514
City of Industry, CA 91716-0514

Overnight payment address can be mailed to:

HealthPlan Services
3501 E Frontage Rd
Tampa, FL 33607
Attn: BSC Clerical

 

 

See also our SNAFU Page for hints on getting thru Health Care Reform issues.

http://healthreformquotes.com/individual/companies/covered-ca/snafu-pay-bill-get-id-cards/

Blue Shield Current member [not Covered CA] can call 888-256-3650 or mail payment to

BlueShield of California
PO BOX 60514
City of Industry ca 91716-0514

Or Overnight to:

3021 Reynolds Ranch Parkway
Lodi CA 95240

 

2.14.2014 Agent Support Email

Call 888-256-3650

or go online at
http://www.blueshieldca.com/paybsc

or mail payment to:

Health Plan Services
3501 E. Frontage Rd.
Tampa FL, 33607
Attn: BSC Clerical

Related pages in  Blue Shield Information & Enrollment Section

• 2016 SBC Summary of Benefits & Plan Overviews
• 2017 PPO Plans Historical
• 2017 Rate Increase average 19.9%
  • Renewal – Which Metal Level – Process – Medicare? – Web Visitor Q & A
• 2017 Trio ACO HMO
• 2018 Renewal Information – Historical
  • Blue Cross cancelled? Get Blue Shield for 1.1.2018 SEP
• Grand Fathered Plan – Non Renewal

 

 

 

 

 

Blue Shield’s Enrollment & Benefit Summary Guides

Blue Shield will now offer  PPO plans, with their  larger Exclusive PPO Network,  not the EPO Plans.

See child pages below for 2017 PPO & Trio ACO HMO details.

Plan Matrix for 2016.

Get Rates & Enroll through our affiliate link.

  Blue Shield Quotes and Enrollment

♦   Quotes from ALL Companies

Rate Chart 2017 46 page pdf 1

We are Blue Shield Authorized Agents and are happy to help you get coverage in California (National) at no extra charge to you. Blue Shield compensates us to help you. 

Email or Call us 310.519.1335

Breaking News – Tidbits

Friendly competitor blog on new Silver Seven $3,750 PPO with $7 office visit

Poor Service 1.2016?  Blog Insure Me Kevin.com ♦ Agents Blog Facebook

Insure Me Kevin.com Blog on new Blue Shield Info  9.23.2015

The LA Times reports on 8.5.2015 that Blue Shield will pay out $83 million for 2014 an average of $136/policy holder and $21 million to 19,000 small employers, about $1,000.

The LA Times 3.18.2015 reports that Blue Shield has lost non-profit status.  More detail from audit 7.5.2015

Formulary – Drug List Rx

FAQ’s

• Standard Drug Formulary PDF
• 2016 Standard Drug Formulary Search

 

Learn more about Mandatory Pediatric Dental , or this page or this one

Blue Card – Out of State for PPO members Care Outside of Plan Service Area – Note Blue CROSS may not have this feature anymore due to ObamaCare (benefits provided through the BlueCard® Program for out-of-state emergency and non-emergency care are provided at the preferred level of the local Blue Plan allowable amount when you use a Blue Cross/Blue Shield provider) ^Brochure

Member Services

 

Child Pages

• 2016 SBC Summary of Benefits & Plan Overviews
• 2017 PPO Plans Historical
• 2017 Rate Increase average 19.9%
  • Renewal – Which Metal Level – Process – Medicare? – Web Visitor Q & A
• 2017 Trio ACO HMO
• 2018 Renewal Information – Historical
  • Blue Cross cancelled? Get Blue Shield for 1.1.2018 SEP
• Grand Fathered Plan – Non Renewal

 

 

Anchors

financial strength

Coverage Matrix - Click to enlarge

 

Click Here to Enroll and get quotes from Blue Shield

Form to appoint us as your Blue Shield Broker, no extra charge.

Here’s what Covered CA says…. about 2019 rates & benefits 2019 Blue Shield Rate Book….  but it’s easier to use the online quoting system  Blue Shield   *   All Plans Insure Me Kevin.com Mirrored Plans?

Renew your plan  blueshieldca.com/renew