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.
Child, Related Pages & Site Map
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
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 $$$.
Summary of Benefits & EOC Evidence of Coverage
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)|