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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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To quickly and easily compare HMO and PPO networks, Blue Shield has created the new Network Comparison Tool, replacing the PDF network guide that has been available in recent years. Both the Plan Comparison Tool and Network Comparison Tool are located on the same web page.
To use the tool, simply select the preferred network display, then adjust the filters to view the results and export to a PDF. Views can be filtered by HMO, PPO, network, region, hospital, ACO, IPA, PCP, etc. These results can be shared via email or exported as a PDF and sent to brokers and/or employers. For help navigating this new tool, view this 3-minute training video.
Here’s an example of a PDF export of a quick hospital comparison by network for Contra Costa and Alameda Counties.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.