How to find in-network providers for Blue Shield Trio & PPO

Blue Shield Exclusive PPO Your new ppoPPO Primary MD FAQ’s *  has 50k+ doctors and 320 hospitals statewide, plus Blue Card benefits out of state & country. 2020 Agent Guide * Member Outreach Bulletin  * 

Directory Online – Provider Finder Scroll down for instructions

Blog Insure Me 11.26.2016 practical limitations money wise of going out of network – namely Maximum Out of Pocket OOP Limit is effectively much higher.

Primary Care Physician Assignment Quick Guide. 

Directory Online – Provider Finder

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

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Step by Step Instructions – Process

Click on Directory Online

What are you looking for?
What are you looking for?

Click on Doctors

Are you currently a Blue Shield membver - or checking it out?
Are you currently a Blue Shield membver – or checking it out?

Put in Zip Code

Enter your Zip Code
Enter your Zip Code


Which Plan?
Which Plan?


Silver 73
Silver 73

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:

Enter Name of MD
Enter Name of MD

Unfortunately Dr. Goladschlager doesn’t show on the list.

Goladschlager not on the list
Goladschlager not on the list

So, I googled Dr. Goldschlager  – he’s with Sutter Health and the name was misspelled.  GIGO – Garbage in Garbage out

MD on list with details
MD on list




More Details & Background Information
More Details & Background Information

Next MD – Roland



Child Pages

Class Action Settlement about bogus provider lists in 2014

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



Blue Shield Provider Finder - Dentists
Blue Shield Provider Finder – Dentists, Doctors & Hospitals

Blue Shield Video – Find a Provider

Finding or changing MD with Trio Plan

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Quote & Subsidy Calculation 

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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

Steve Shorr
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4 comments on “Provider Finder – Instructions * Exclusive PPO – Trio HMO

  1. If we move to Washington State [from San Diego] – ie: out of “Covered California” and Blue SHield of CALIFORNIA.

    Can we still see BLue SHiiled doctors and be IN NETWORK?

  2. We currently live in San Diego County and have Blue Shield PPO. If we move to Orange County or SF [San Francisco] can we still go to Blue SHield doctors and be IN NETWORK (Blue SHield of California and Covered California)?

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