How to find in-network providers for Blue Shield Trio & PPO
Directory Online – Provider Finder Scroll down for instructions
PPO Accepted by Cedars Sinai
Tele Doc – 24/7 access to doctors and pediatricians
Teladoc provides you with access to board-certified doctors and pediatricians who are always available to resolve many of your medical issues via phone or online video consultations. It’s quality healthcare, when and where you need it.
Call Teladoc from anywhere – home, work, or on the road – and let the doctor come to you! Teladoc doctors diagnose and treat many of your non-emergency medical problems. They can even write a prescription, if necessary, for you to pick up at your local pharmacy.
Blue Shield drops Stanford for 1.1.2016
- Providers outside CA
- Coverage outside U.S.
- 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
Step by Step Instructions – Process
Click on Directory Online
Click on Doctors
Put in Zip Code
Then pick your sub plan, in this case Silver 73. It’s my understanding that ALL Individual PPO plans have the same list. Enter Name of MD you want:
Unfortunately Dr. Goladschlager doesn’t show on the list.
So, I googled Dr. Goldschlager – he’s with Sutter Health and the name was misspelled. GIGO – Garbage in Garbage out
Next MD – Roland
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
- What is a primary care physician?
- Why is it important to have a PCP?
- How did we select your PCP match?
- When will I receive information about the PCP that I was matched with?
- I’ve been matched with a PCP. Now what?
- What should I consider when evaluating my PCP?
- How do I change my PCP?
- I already have a doctor that I like. How do I know if my preferred PCP is part of my plan’s network?
- I can’t find my preferred PCP in the Exclusive PPO Network. What do I do now?
- Will my PCP appear on my ID card?
- What happens if I make a change to my PCP?
- How often can I change my PCP?
- Provider Finder
Blue Shield Video – Find a Provider
Finding or changing MD with Trio Plan
Guaranteed Issue - No Pre X Clause
Quote & Subsidy Calculation
Missed Open Enrollment?
See our Special Enrollment page
No charge for our complementary services
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.
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
Learn how to register for 24/7 access to your health plan
through either your online account or our mobile app.
Video on how much coverage for death protection you need