Blue Shield’s Trio ACO HMO
Trio ACO’s 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==>
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Paper Application - BUT ONLINE is better.
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 $$$.
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
Blue Shield Authorized Broker Website
INSTANT QUOTES & Enroll
Steve @ Blue Shield HQ
Appoint us as your broker – Covered CA ********* Direct
Blue Shield Provider #Finder -
Dentists, Doctors & Hospitals
VIDEOS
- Finding or changing MD with Trio Plan VIDEO
- Blue Shield Exclusive PPO Your new ppo * PPO 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 *
- How to use the Finding a provider tool above VIDEO
- Understanding Your Plan pdf
- Nurse Help 24/7, Heal and Teladoc save on prescriptions ER vs. urgent care.
- Get the most from your health care plan VIDEO
- Use your online account to review claims, copays or deductibles and take advantage of other member benefits.
- Explanatory VIDEOS on everything... from Blue Shield
- Our webpage for PRINT Directory’s MAPD Plans
- Late Bloomers – Medicare – VIDEO
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- VIDEO on ARPA Stimulus and more Covered CA Subsidies
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- Get Instant Health Quotes, Subsidy Calculation & Enroll
Videos on how great agents are
Do I have to get a referral from my PCP to see my heart specialist?
Blue Shield has two options to see a specialist
1. Get a referral from your PCP Primary Care Physician
2. See a specialist in the same medical group…
This is a SIMPLISTIC answer, see the actual policy page 25 for exact details.
Do NOT quote our summary!
What hospitals are covered with silver 87 HMO trio…
do you have a list you could forward to me please?
All Trio Plans from Bronze to Platinum and Enhanced Silver have the same network, both in and out of Covered CA.
I don’t know what county you are in, so I can’t forward you a list. Try this page on Blue Shield’s website https://www.blueshieldca.com/sites/imce/trio-network.sp
See also our page on how to use the Blue Shield Provider Finder.
How about appointing us as your agent, no extra charge so that we get paid for helping you.
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.
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.