Blue Shield’s 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.

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.

Trio 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==>

Blue Shield Website   on TRIO *

FAQ’s

 

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.

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 $$$.

Prenatal  *  Spanish

Please email us if any of the links require passwords or are not up and running yet. Trio Provider Finder

Print a temporary ID card and more – Member Services Center and Registration

FAQs / Ask Us a Question

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

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

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.

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 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

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

Child, Related Pages
& Site Map 

4 comments on “2020 Trio HMO ACO

  1. 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.

      Enhanced Silver

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