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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.
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Dental and vision benefits are valued now more than ever by employers looking to attract and retain talent. To offer employers even more options, Blue Shield has made several updates for 2022.
Available beginning January 1, 2022, Blue Shield’s enhanced simplified portfolio includes 22 new dental PPO plans that feature a clear hierarchy and navigation system that makes it easy to find plans based on employees’ needs.
Competitive Benefits Include:
All groups enrolled in a 2021 dental PPO may continue to renew into the same plan or choose one of the new 22 plans available at renewal.
All dental HMO plans now include a third dental cleaning for pregnant women to help maintain good oral hygiene. Dental HMO/PPO/DINO will allow a dental cleaning frequency of twice per consecutive 12-month period versus once every 6-months.
To help members get the most value out of their vision plans, Blue Shield now includes standard progressive lenses on plans without premium progressive lenses and this change will be available:
Plus, an elective contact lens allowance will match the frame allowance and will be available:
Blue Shield’s Vision Plus plans cover both elective contact lenses and eyeglasses within the same benefit period. These plans will cover up to $150 for frame allowance and $150 for elective contact lenses, along with a standard contact lens fitting and evaluation.
Vision Plus plans that include the enhanced benefit:
Standard Progressive lenses (no-line bifocals) will be available on all plans with a $120 frame allowance at the same materials copay.
More details can be found in the Blue Shield Small Group Specialty Sales Guide.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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