Blue Shield 2020 Premium Credit Program

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Blue Shield - New Virtual Blue Plans

The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. Virtual care includes $0 unlimited visits to primary care, behavioral health and specialty care through a new partnership with AccoladeCare. In-person care is available through the Tandem PPO network in California and via BlueCard when outside of the state.

The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. These can be identified by ‘Virtual Blue’ in the plan name.

When using the PRISM filter options for Narrow or Broad networks, select ‘All’ networks instead of ‘Broad’ only networks to generate plans for Blue Shield’s Virtual Blue, Trio HMO, and Tandem PPO plans.

If you need assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

Oct 19, 2020, 2 Minute Read

To help ease the financial strain on employer groups, Blue Shield is applying a one-time premium credit to their November billing cycle.

The Premium Credit Program will apply a one-time 10% credit on monthly medical premiums and a 30% credit on monthly dental and/or vision premiums. The credit will be calculated based on the customer’s October premium and it’ll be reflected on the November billing statement. Groups through Covered California will have the credit applied to their December bills.

Premium Credits Will Be Applied for:

Fully-insured employer group medical, dental and/or vision plans (excludes flex-funded).
Medicare Supplement medical, dental and/or vision plan subscribers.
IFP dental and/or vision plans (excludes IFP medical plans).

Premium credits will be applied automatically; no action is required from the customer. Learn more.

Ongoing Blue Shield COVID-19 Support Efforts Include:

Extending the commitment to waive co-payments, coinsurance, and deductibles for treatment of COVID-19 through December 31, 2020.
Continuing to cover costs for virtual care (medical and behavioral) services provided by Teladoc Health through December 31, 2020.
Blue Shield of California Promise Health Plan providing $100,000 in grants to support nutrition for Southern Californians during the coronavirus pandemic.
Donating $500,000 to the Oakland COVID-19 Relief Fund to support pop-up coronavirus testing sites and other community initiatives.
Using the latest technology to deliver personalized care by using machine learning to identify members with heightened needs during the pandemic.
Protecting employees and limiting the possible spread of the virus by initiating a company-wide work-from-home plan while maintaining uninterrupted service to Blue Shield customers.

COVID-19 Resources

COVID-19 Resources for brokers and employers.
Blue Shield COVID-19 FAQs
Blue Shield COVID-19: What You Need to Know
California Department of Managed Health Care (DMHC) FAQs
DMHC COVID-19 Response and Guidelines
CDC COVID-19 Testing Overview

Blue Shield Resources

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.