PRISM Login

To access the carrier product and rate information provided by PRISM, check the box below indicating you have read and agree to the license agreement. A button will then appear to access PRISM.

This site uses cookies to track your agreement option. If the terms of the license agreement change or if you clear the cookies from your browser, this page will appear once again during the PRISM login process.

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.

Login To Prism

Blue Shield 2022 Large Group Updates

Blue Shield 2022 Large Group Updates

Blue Shield 2022 Large Group Updates

Jun 28, 2021, 5 Minute Read

To meet the evolving needs of employers, Blue Shield of California is broadening its plans to provide more options at lower costs, including medical and behavioral health Teladoc benefits at no charge. They are also updating their Specialty portfolio and pharmacy programs.

Plus, your clients can enjoy rate guarantees and discounts of up to 3% when they add dental, vision, and life coverage with the Benefits Solutions Discount.

Medical Plan Portfolio Expansion for 2022

Visit Blue Shield of CA to learn about all the available plans.

Existing Plan Updates for 2022

To compare year over year plan changes, visit Blue Shield of CA.

Specialty Benefits Updates for 2022

With more emphasis on health and wellbeing as we emerge from COVID-19, there’s never been a better time to bundle dental, vision, and life benefits with Blue Shield medical plans. Your clients can enjoy a streamlined sales process, rate guarantees, discounts of up to 3% with the Benefits Solutions Discount, and some of the largest networks of dental and vision providers. Learn more about Blue Shield’s dental and vision plan options.

Dental Plan Updates

Vision Plan Updates

Summary of Benefits (SOBs) documents will be used as both pre-and post-sale materials for 2022.

Pharmacy Updates for 2022

All changes will be effective upon group renewal.

Copay Card Accumulator Program
When a member uses a non-financial needs-based manufacturer copay card at CVS Specialty Pharmacy, only the member’s true out-of-pocket costs will apply to their deductible and/or out-of-pocket maximum. Impacted members using copay cards at CVS Specialty Pharmacy will be notified via mail approximately 60 days in advance of their plan renewal.

90-Day Supplies at Retail Pharmacies

Coverage for infertility-related drugs

Benefits Solutions Discount

Employers (101-1,000 eligible employees) can save up to 3% on medical premiums when they add dental, vision, and life insurance plans to their Blue Shield medical coverage. The more they add, the more they save:

Download the flyer for details.


COVID-19 Resources


Blue Shield Resources


Questions?

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