Trio ACO HMO
are a new family of limited network HMO plans: these plans are focused on delivering choice, affordability, and access to high-quality care with lower premiums.
Blue Shield is committed to leveraging their robust and innovative care models to fundamentally change healthcare delivery.
An accountable care organization (ACO) is a network of doctors and hospitals that shares responsibility for providing coordinated care to members and limiting unnecessary spending. As with a traditional HMO plan, each member’s care is centered around a primary care physician.
Learn More===> Section 3022 ACA
Blue Shield’s ACO framework is based on a proven record of delivering integrated care to more than 200,000 Californians.
The Trio ACO HMO plans are designed to help break down barriers, enhance care coordination, reduce duplication of services, and improve the member’s overall experience.
Our plans are designed to help:
- Link members to the right services
- Create cross-organizational focus on patients with complex needs
- Improve discharge processes and programs to reduce hospital readmissions
Learn More==>
Trio ACO HMO Network Flyer
Be sure to enroll on our Blue Shield affliate website. Blue Shield pays us to help you, at no cost to you, as it saves them time and $$$.
Concierge for Covered CA 2 page pdf Prenatal * Spanish Please email us if any of the links require passwords or are not up and running yet. Trio Provider Finder
Summary of Benefits & EOC Evidence of Coverage
Individual and Family Plan medical Summaries of Benefits (SOB) are effective January 1, 2019, and must be accompanied by the Important Legal Information booklet (PDF, 2.5MB), Spanish (PDF, 2.1MB)
In addition to the Summary of Benefits, the Evidence of Coverage/Policy (EOC) and Summary of Benefits and Coverage (SBC) forms provide your clients with an easy-to-understand overview of what our IFP plans cover.
| Trio HMO Plans |
|
|||
| Blue Shield Platinum 90 Trio HMO | English (PDF, 2MB) Spanish (PDF, 2MB) | |||
| Blue Shield Gold 80 Trio HMO | English (PDF, 2MB) Spanish (PDF, 2MB) | |||
| Blue Shield Silver 70 Trio HMO | English (PDF, 2MB) Spanish (PDF, 2MB) | |||
| Silver 70 Off Exchange Trio HMO | English (PDF, 2MB) Spanish (PDF, 2MB) | |||
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 Trio HMO | English (PDF, 2MB) Spanish (PDF, 2MB) | |
| Blue Shield Silver 87 Trio HMO | English (PDF, 2MB) Spanish (PDF, 2MB) | |
|
Blue Shield Silver 94 Trio HMO
If links don’t work, email us and we will send you the summaries. |
English (PDF, 2MB) Spanish (PDF, 2MB) | |
Guaranteed Issue - No Pre X Clause - Quote & Subsidy Calculation - No charge for our complementary services - If not in CA click here for Nationwide Quotes
Child, Related Pages & Site Map
What hospitals are covered with silver 87 HMO trio…
do you have a list you could forward to me please?
All Trio Plans from Bronze to Platinum and Enhanced Silver have the same network, both in and out of Covered CA.
I don’t know what county you are in, so I can’t forward you a list. Try this page on Blue Shield’s website https://www.blueshieldca.com/sites/imce/trio-network.sp
See also our page on how to use the Blue Shield Provider Finder.
How about appointing us as your agent, no extra charge so that we get paid for helping you.
I’m on SSDI and my agent set me up with Blueshield/Covered California silver 94 HMO trio…
I notified her that my income had increased…and without notifying me signed me up for silver 87 HMO trio starting 9/1/2018!!
My question is…can I possibly have this new insurance [silver 87 vs 94] changed or postponed?
When you get subsidies from Covered CA you are mandated to report changes of income within 30 days. When you changed your income to show an increase, Covered CA automatically changes the subsidy and the Silver Level. If your income decreases, you can report that change.
See chart below or visit our page on enhanced-silver.com The main change is that your specialist visits go from $8 to $25.
You can also use our quote engine to double check income, silver level, premium, benefits, etc.