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Tools to help you figure out how much you should get
Video on how much coverage for death protection you need
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.
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) –
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
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%
- 2017 Trio ACO HMO
- 2018 Renewal Information – Historical
- 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
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
- 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
Child Pages
- 2016 SBC Summary of Benefits & Plan Overviews
- 2017 PPO Plans Historical
- 2017 Rate Increase average 19.9%
- 2017 Trio ACO HMO
- 2018 Renewal Information – Historical
- Grand Fathered Plan – Non Renewal
Anchors
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
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