2020 Blue Shield Trio & PPO
CA Individual & Family

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

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 
 

We offer 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.

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

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

Blue Shield Quote & Enroll

 

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

2020 Paper Application

Steve @ Blue Shield HQ

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

Steve Shorr
Website Introduction

Instant Health Quotes & Enroll

15 Reasons to appoint us as your broker - No extra charge

 

Our Webpage on Insurance Coverage for 

COVID 19 

corona virus

 

 

Blue Shield Provider Finder -
Dentists, Doctors & Hospitals

Blue Shield Provider Finder - Dentists

Finding or changing MD
with Trio Plan

Finding a provider

Our Web page with more detail on using provider finder

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

Covered CA Certified Agent

Covered CA Certified Agent  
No extra charge for complementary assistance 
Appoint us as your broker  

Set Consultation Meeting via Phone, Skype or Face to Face

Instant Health Quotes & Enroll
including subsidy calculation

Video on how great agents are

"I'm In"

Enrolling in health plans through Covered California has helped people focus on their families and careers, and feel protected against unexpected medical issues.

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

Explanatory Videos on everything... from Blue Shield

Guaranteed Issue - No Pre X Clause
Quote & Subsidy Calculation 

Instant complementary quotes & subsidy calculation

Missed Open Enrollment?
See our Special Enrollment page

No charge for our complementary services

Detailed Video Instructions on using our Quote Engine

How to use our FREE Quote Engine, Subsidy Calculator  and get the MOST from the experience.

When you get a FREE quote, you can also see the benefits, view actual brochures, MD and Hospital Lists all ONE easy process with no obligation & it can be anonymous.   Enter your zip code, date of birth, family - household taxation relationships (MAGI - Definition),    Estimated MAGI - Modified Adjusted Gross Income for the upcoming - current year.  Last years tax return only gives an idea so that Covered CA can approve your advance tax credit to help pay premiums.

If you qualify for tax credits - subsidies and want them in advance (Pros-Cons) of filing your taxes click on "Health On Exchange" - Covered CAillustrated below.

This website and are individual consultation are provided to you FREE of Charge!  We are paid by Covered CA and/or the Insurance Companies to help you.  When you fill out the Covered CA ONLINE Application, just appoint us as your agent under Find Help in the Upper Right Hand Corner so that we get paid for helping you.  Click here for screen shots for more detail of how to do it.  If you prefer, you can pay us a consultation fee in lieu of appointing us as your agent, for educational services only.

You can then see all the quotes on the exchange, showing the Cost Share Reduction - Enhanced Silver  if available, subsidy - tax credit amount and your net premium.    If you click "Off Exchange" you will see more plans and companies which  may have larger provider lists.   Scroll down for more screen shots.

Then click on "View Plan Details" - "View Doctor's & Providers" - to compare and get more information.  Please note that the quote engine does not show enhanced silver, but shows silver at 70%.  Check our chart for the better silver coverage.  

Learn more about the right to change plans when Silver Level Enhanced Changes 

To apply, click on apply now or use the links in the right hand column, ON THIS PAGE, but it will have you redo the quote for that specific company.   The price is the SAME, no matter if you use us, go direct to Covered CA or the Insurance Company, as mandated by law!  If applying through Covered CA, be sure to sign the form to appoint us as your agent.  It's not all the easy to figure out how to do it on their website.

If you have any questions email [email protected] or call us 310.519.1335

19 comments on “Blue Shield 2020 PPO & Trio

    • ACA/Obamacare pretty much made the coverage for all plans and all companies, exactly the same. It’s a function of Metal Levels, Platinum, Gold, Silver & Bronze. Silver 73, 87 & 94 are only available if your income is low. Get a quote to see.

      There are 10 essential benefits under ACA/Obamacare.

      CA has additional benefits

      ACA Obamacare Essential Benefits

      (A) Ambulatory patient services.
      (B) Emergency services.
      (C) Hospitalization.
      (D) Maternity (page 9 & 85) [but not infertility] and newborn care.
      (E) Mental health and substance use disorder services, including behavioral health treatment.
      NAMI Website , AB 88, CFR 156.115 (a) (3), “Federal Mental Health” Mental Health Parity Act 1996 2008 Final Rules

      (F) Prescription drugs.
      CFR 156.122

      (G) Rehabilitative and habilitative [learn or improve skills for daily living] services and devices. (American Academy of Reb 18 page paper)
      (H) Laboratory services.
      (I) Preventive and wellness services and chronic disease management.
      (J) Pediatric services, including oral and vision care. Blue Shield Individual Flyer Essential Health Benefits 5.2013 Group Essential Health Benefits (EBH) 42 USC 18022 SB 951
      Get Adult Dental & Vision Quotes – ONLINE Enrollment
      (H?) Cancer and other life threatening disease – clinical trials

      CA Essential Benefits
      Preventive services for children 16 and younger
      Mental health parity
      Autism care including behavioral health treatment
      Prescription drug coverage for contraceptives
      Maternity hospital stay
      Maternity: Inpatient hospital and ambulatory
      AIDS vaccine
      HIV testing
      Organ transplants for HIV
      Diabetes education, management and treatment
      Alpha feto protein testing
      Prosthetics for laryngectomy
      Reconstructive surgery
      Mastectomies and lymph node dissections
      Mammography
      Cervical cancer treatment
      Cancer screening tests
      Cancer clinical trials

      Prostate cancer treatment
      Osteoporosis treatment
      Surgical procedures for jaw bones
      Anesthesia for dental
      Conditions attributable to diethylstilbestrol
      Hospice (end of life) care
      Pain management medication for terminally ill
      Emergency response ambulance or ambulance transport services
      Medicare Coverage # 11021
      Phenylketonuria treatment
      Sterilization operations and procedures View the Affordable health ca.com page Assembly Bill 1453 (Monning) and Senate Bill 951 (Hernandez). View the California Health and Safety Code, section 1367.005

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