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#PPO networks
- Our Full PPO Network is among the largest in California and includes more than 75,000 physicians and over 380 hospitals.
- Our Tandem PPO Network is a subset of our Full PPO Network, available statewide, with 60% of Blue Shield providers included. Tandem PPO plans provide the same plan benefits as the Full PPO plans at a lower price.
- We also offer high-deductible health plans (HDHP), which are available on the Full PPO Network only. HDHPs come with the option of opening a health savings account (HSA) to help pay for qualified medical expenses.
- PPO Basics VIDEO
HMO networks
- Access+ HMO® Network provides access to more than 40,000 doctors in California.
- Local Access+ HMO® Network provides access to more than 17,000 doctors in California.
- Trio ACO HMO® Network provides access to 10,000 doctors in 24 California counties. Trio HMO is a high-performance health plan that leverages ACO partnerships to deliver a community of care for members. The name “Trio” represents our ACO program alliance between the medical group, hospital, and Blue Shield – an integrated network model that creates a community of care to support improved health outcomes for Trio members. Visit blueshieldca.com/ACO. Blue Shield Website – Networks *
- HMO Basics VIDEO
Instructional VIDEO to use the
Blue Shield – Doctor MD Finder
Written instructions for Dental & Vision provider finder pdf
Alternate Ways to visit MD – Teledoc – Urgent Care, etc. pdf
More on Tele Doc pdf
Trio HMO: Changing the way you access health care
VIDEO
#PPO networks
- Our Full PPO Network is among the largest in California and includes more than 75,000 physicians and over 380 hospitals.
- Our Tandem PPO Network is a subset of our Full PPO Network, available statewide, with 60% of Blue Shield providers included. Tandem PPO plans provide the same plan benefits as the Full PPO plans at a lower price.
- We also offer high-deductible health plans (HDHP), which are available on the Full PPO Network only. HDHPs come with the option of opening a health savings account (HSA) to help pay for qualified medical expenses.
- PPO Basics VIDEO
HMO networks
- Access+ HMO® Network provides access to more than 40,000 doctors in California.
- Local Access+ HMO® Network provides access to more than 17,000 doctors in California.
- Trio ACO HMO® Network provides access to 10,000 doctors in 24 California counties. Trio HMO is a high-performance health plan that leverages ACO partnerships to deliver a community of care for members. The name “Trio” represents our ACO program alliance between the medical group, hospital, and Blue Shield – an integrated network model that creates a community of care to support improved health outcomes for Trio members. Visit blueshieldca.com/ACO. Blue Shield Website – Networks *
- HMO Basics VIDEO
Instructional VIDEO to use the
Blue Shield – Doctor MD Finder
Written instructions for Dental & Vision provider finder pdf
Alternate Ways to visit MD – Teledoc – Urgent Care, etc. pdf
More on Tele Doc pdf
Trio HMO: Changing the way you access health care
VIDEO
Steve @ Blue Shield Headquarters
Visit our Blue Shield Medi Gap Webpage
SNP is all the time
What’s the about a rebate of premium as Blue Shield made too much $$$ in 2018?
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
FAQ’s