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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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Blue Shield participation requirements remain relaxed through January 31, 2021. Small business groups with 5 or more enrolled employees only require 25% participation for medical, dental, vision, and life insurance plans.
Trio HMO and Tandem PPO Plans Enroll as Few as One Member
Participation requirements are waived for groups of 1 – 100 eligible employees that offer only Trio HMO and Tandem PPO medical plans. Tandem-only participation is being added to the relaxed participating program for new sales as of October 1, 2020.
Download the Blue Shield flyer for more information and an example.
Visit Blue Shield’s Broker Connection to learn more.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.