Blue Shield Employer GROUP Plans

Employer Connection  Provider Finder  Dental   

Blue Shield Authorized Agent
No extra charge to you 

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#Get Quotes & Enroll with Blue Shield 

Introduction 

Blue Shield is a great company for your employees health insurance needs.   We are Blue Shield Employer Group Authorized Agents and are happy to help you get coverage at no extra charge to you, as  Blue Shield  pays  us to help you.

 

Call 310.519.1335 or email us [email protected]  to discuss further.

 
Blue Shield of California will be sending rebates to 40,000 small group plan holders.
 
The MLR Medical Loss Ratio for small groups insured by Blue Shield was 79.7%. Because Blue Shield missed the 80% target by 0.3%, it will refund 0.3% of the total health plan premiums paid by the employer and employees in those plans.
The following subscribers and employer groups will not receive 2018 plan year rebates, since Blue Shield met or exceeded the MLR targets for those health plans.
  • Individual and Family members with Blue Shield of California Life & Health Insurance Company (Blue Shield Life) and Blue Shield plans
  • Small businesses with Blue Shield Life
  • Large groups with Blue Shield Life and Blue Shield plans

Blue Shield Provider #Finder -
Dentists, Doctors & Hospitals

Blue Shield Provider Finder - Dentists

VIDEOS

#Dental

Dental coverage is the benefit most requested by employees after medical coverage.  With Blue Shields affordable dental plans and access to some of the largest dental provider networks in the country1,  you’ll add value to your employees’ benefits package and help them better manage their oral and overall health.  Plus, offering access to preventive oral care can help keep employees happier and more productive at work.

Brochure including HMO  

What Blue Shield Offers

Blue Shield dental plans are available with or without a Blue Shield medical plan. They  offer a variety of benefit levels, plan flexibility, no waiting periods2 and one-source administration. For added flexibility, voluntary dental plans require no minimum employer contribution.

Dental  INO  Smile  SM  plans

The SmileSM In-Network Only (INO) dental plan portfolio3 pays benefits on a coinsurance basis, but with no out-of-network coverage1. The INO network includes all the same providers as the dental PPO network. Members can access covered services from any provider in the INO network, giving members access to over 25,000 providers in California and over 218,000 nationwide1. The INO plan lets you tailor dental coverage for your employees by selecting options from these three key components:

  • Voluntary or contributory
  • Endodontics and periodontics coverage level (either a 50% or 80% coinsurance level)
  • Orthodontia coverage (can be included or excluded)

Additional features:

  • $1,500 annual benefit maximum
  • Orthodontic coverage of $1,000 per calendar year available, for children and adults
  • Oral cancer screening covered as a diagnostic and preventive service
  • Covered diagnostic and preventive services covered at 100%

Dental  PPO  Smile SM  Plans

With our dental PPO plans, you and your employees have access to a nationwide dental network of more than 25,000 providers in California and 218,000 PPO providers nationwide.1

Your employees save money and get the most out of their benefits by choosing a provider from our large network of general and specialty dentists. They can also receive care from any licensed dentist of their choice, covered as an out-of-network benefit.

  • No waiting periods so employees have access to benefits on the first day of coverage.
  • 100 percent coverage for diagnostic and preventive services from network providers.
  • Enhanced dental services for pregnant women.
  • Orthodontic coverage options for children and adults with some plans, with up to a $1000 orthodontic benefit per member, per year. To learn more, see the handy Member Guide to Ortho Coverage. (PDF, 464KB)
  • Choices for low annual deductibles and calendar year maximums.

Dental  HMO  Plans

Dental HMO plans help your employees and their dependents take control of their dental costs with the network dental provider of their choice. We’re now introducing four new dental HMO plans to offer coverage for basic and major services, while delivering lower out-of-pocket costs for employees.

Our dental HMO features include:

  • Over 16,000 HMO providers in California1
  • $5 office visit copayments
  • No deductibles, claim forms or calendar-year maximums
  • No charge for diagnostic and preventive services
  • Select plans have orthodontia benefits for adults and children.

Dual  Option  Dental

Give your employees a choice between any two dental plans, including voluntary plans.
Find a Provider or call member services at (888) 702-4171 for dental PPO/INO plans, or at (800) 585-8111 for dental HMO plans. Call center hours are Monday through Friday, 5 a.m. to 8 p.m. (PST).

 

Recommend a Dentist

If your employee’s dentist is not in the provider network, they can nominate a dentist  to join the network.


1 Dental providers in and out of California are available through a contracted dental plan administrator.
2 Voluntary dental PPO and INO plans have a 12-month waiting period for major services.
3 Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life) and pending regulatory approval.  Copied from Blue Shield CA.com 

#Importance of Dental Coverage 
Dental & General Health

Insurance 101?

We suggest that you check out Life Insurance, Disability, Long Term Care and Retirement as these risks may cause much more financial devastating to your budget than dental bills.

Picture of Oral Health 

Why you need Group Dental Coverage

 

Steve on buying, shopping and best use of premium dollars
Dental Insurance VIDEO

steve's video on dental coverage

MORE VIDEOS

Blue Shield Wellness Website

Whether it’s preventive care or discounts on alternative care, learn how to make the most of your plan with the health and wellness tools and programs that can help you stay healthy.  Watch VIDEO

tobacco cessation programs that Blue Shield offers as part of their Wellvolution platform. 

 

Technical & Research Links

Child, Related Pages & Site Map 

Medical Loss Ratio – The LA Times reports on 8.5.2015 that Blue Shield will pay out $83 million for 2014 an average of $136/policy holder and $21 million to 19,000 small employers, about $1,000.

Blue Shield Health Reform Site

teladoc.com   Speak to a licensed doctor by web, phone or mobile app in under 10 minutes

Group Life Insurance 

Blue Shield Financial Strength

More on our Individual Website

Preventative Care

Wellness Programs

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