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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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Starting January 1, 2021, PIH Health medical group will join the growing network of Trio ACO providers. This expansion is effective for all lines of business that offer Trio HMO.
A non-profit, regional healthcare network, PIH Health adds network depth to the south and east Los Angeles area with 390 full-time physician providers, plus 300 more physicians in their affiliated network. With the addition of PIH Health, Trio HMO covers 38% of HMO Access+.
The fully integrated network is comprised of the PIH Health medical group and two hospitals in Whittier and Downey that serve approximately 2.5 million residents in Los Angeles County.
Visit Blue Shield’s Broker Connection to learn more.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.