2021 Blue Shield Trio & PPO
CA Individual & Family

We’ve represented Blue Shield for 40 years and have been quite happy.   There is no charge for you to have our expertise as Blue Shield pays us.  It helps them too!

Check out the brochure to the right if you have a full size monitor or below if you are on a smart phone.  See the buttons to enroll, set a Zoom meeting or ask us a question.

 

 

Blue Shield - Get a quote & enroll. 
No extra charge for our services.

Blue Shield Quote & Enroll

Paper Application - BUT ONLINE is better. 

 

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Try turning sideways to view screen shots & pdfs.

Picking a PPO Primary Care Physician PCP – MD

PPO members for all Covered CA plans and maybe all? plans will now have a central point of contact PCP – Primary Care Physician, in the health system for receiving long-term, comprehensive, coordinated care for most health needs. PPO members are able to switch PCPs at any time. There is no action for members to take. Blue Shield will provide additional details on this new feature in the coming weeks.

Members of non-grandfathered PPO plans will continue to have the freedom to choose specialists and other providers – without referrals inside or outside the network – as they do now.

PPO Primary Care MD – member communication from Covered California


FAQ’s

Primary Care & PPO VIDEO

Pick primary care even if on PPO

 

Blue Shield Coverage for COVID

COVID Coverage 

Our main webpage on COVID 

 

Blue Shield Authorized Broker Website
INSTANT QUOTES & Enroll
Blue Shield Authorized Broker Website – INSTANT QUOTES & Enroll

2020 Paper Application

Steve @ Blue Shield HQ

Steve at Blue Shield HQ

Appoint us as your broker - Covered CA ********* Direct

Blue Shield Provider Finder -
Dentists, Doctors & Hospitals

Blue Shield Provider Finder - Dentists

VIDEOS

Finding or changing MD
with Trio Plan VIDEO

 

How to use the Finding a provider tool above VIDEO

Our Web page with more detail on using provider finder

Understanding Your Plan pdf

Video - Understanding your plan

Nurse Help 24/7, Heal and Teladoc save on prescriptions ER vs. urgent care.
VIDEOS

 

Use your online account to review claims, copays or deductibles and take advantage of other member benefits.

Explanatory VIDEOS  on everything... from Blue Shield

 

Blue Shield TRIO Plan Guide
PPO Plan Guide
Click link to see the pdf directly
Get Quotes & Subsidy Calculation

2020 Summary of Benefits

2020 Paper Rate Book

If any of the links don't work or require a password, just email us [email protected] for what you need

PPO Plans Summary of Benefits
Blue Shield Platinum 90 PPO English
Spanish

Important Legal Information booklet

Evidence of Coverage/Policy (EOC)
Visit blueshieldca.com/policies to download the forms.

Blue Shield Gold 80 PPO English
Spanish
 
Blue Shield Silver 70 PPO English
Spanish
 
Silver 70 Off Exchange PPO English
Spanish
 
Silver 1950 PPO (New for 2020) English
Spanish
 
Silver 2600 HDHP PPO (New for 2020) English
Spanish
 
Blue Shield Bronze 60 PPO English
Spanish
 
Blue Shield Bronze 60 HDHP PPO English
Spanish
 
Blue Shield Minimum Coverage PPO English
Spanish
 

Blue Shield offers  six Silver cost-sharing reduction plans through Covered California for clients whose income is between 138% to 250% of the federal poverty level (FPL). These plans are available only through Covered California, there is no extra charge to use an agent.

If any links require a password or don't work, just email us [email protected]

Cost-Sharing Reduction Plans Summary of Benefits
Blue Shield Silver 73 PPO English
Spanish

Important Legal Information booklet

Evidence of Coverage/Policy (EOC)
Visit blueshieldca.com/policies to download the forms.

Blue Shield Silver 73 Trio HMO English
Spanish
 
Blue Shield Silver 87 PPO English
Spanish
 
Blue Shield Silver 87 Trio HMO English
Spanish
 
Blue Shield Silver 94 PPO English
Spanish
 
Blue Shield Silver 94 Trio HMO English
Spanish
 

2019 Benefit Summaries  |  Dental Benefit Summaries  |  Vision Benefit Summaries

25 comments on “Blue Shield 2021 PPO & Trio

  1. I’m considering Bronze HDHP with an HSA vs Gold Plan with no deductible.

    I have hardly any claims.

    I do have Rx though with very little Co Pays.

    Is there a way to know what my Rx cost would be if I had the $7k deductible in Bronze Plan?

    Bronze Evidence of Coverage

    bronze 7k

    • Blue Shield is ahead of the ball. Their own broker manual says that the notices wouldn’t go out till October 1st.

      key dates for 2021

      Note that in the notice that you got, nothing happens till November 1st.
      November 1st can change plans

      The averages for 2021 look good. Those are averages, I’m sorry you show a 5% increase.
      average rate changes

      To shop with Blue Shield, use the link above, starting November 1st.

      To get quotes from all other companies and get subsidy calculation, here’s our quoting tool. We’ve been advised the rates for 2021 would be loaded and available on October 15th.

      Here’s our Open Enrollment Webpage for more details on dates and deadlines.

      Please note that many companies have told us that full details would not be available till November 1. So, please how about waiting till say November 5th to give us time to review all the materials. We pride ourselves on accurate information not the SWAG method.

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