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PRISM - Health Net is Now Available Through Claremont!

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Lowest rates in the market – Affordable options without compromising quality.
Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
Flexible HMO options – Networks to fit nearly every group statewide and every budget.
Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.

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Blue Shield Negotiations with Community Medical Centers

Blue Shield Negotiations with Community Medical Centers

Blue Shield Negotiations with Community Medical Centers

Jan 27, 2026, < 1 Minute Read

Blue Shield of California and Community Medical Centers (CMC) Contract Update

Blue Shield of California is currently in good-faith negotiations with Community Medical Centers (CMC) to reach an agreement that supports affordable healthcare costs.

If an agreement is not reached, select CMC hospitals—including Clovis Community Hospital, Community Regional Medical Center, and Fresno Heart and Surgical Hospital—will be out of network for Blue Shield members effective February 1, 2026. Blue Shield maintains a strong Fresno County network, with alternative in-network hospitals such as St. Agnes Medical Center and Valley Children’s Hospital.

CMC’s affiliated medical group, Community Health Partners, serves a limited number of Blue Shield PPO members. If CMC terminates its contract, services with this group would be billed at out-of-network rates.

Notifications to impacted members will begin January 27, including members who received care at a CMC facility within the past 12 months or who live within a 15-mile radius of a CMC facility. Updates will be shared as negotiations continue.

 

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