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Covered California for Small Business –
New Blue Shield Plans

New Cigna + Oscar (C+O) small group sales and renewals will not be offered in 2025. At C+O’s request, all plans and rates have been removed from the quote engine. However, you can still quote or renew your C+O groups through December 15, 2024 by contacting us at quotes@claremontcompanies.com or 800.696.4543. Please note: the last day of coverage will be December 14, 2025.

For assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

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Blue Shield of California Announces Major Pharmacy Benefits Revamp

Blue Shield of California Announces Major Pharmacy Benefits Revamp

Blue Shield of California Announces Major Pharmacy Benefits Revamp

Aug 21, 2023, 3 Minute Read

Blue Shield of California has announced a major revamp in its approach to pharmacy benefits. By 2025, Blue Shield will significantly reduce its ties with CVS Health’s PBM services. Instead, it will partner with Amazon Pharmacy, Mark Cuban’s Cost Plus Drug Company, and other firms to bring about potential massive savings and enhanced services for its customers. Here’s a high-level summary of the news, what it means for you, and some links to additional resources.

High-Level Summary

  1. Blue Shield is projecting approximately $500 million in annual savings on drug costs by making this move.
  2. Amazon Pharmacy will introduce fast and free at-home drug delivery and 24/7 pharmacist access.
  3. Mark Cuban’s Cost Plus Drug Company will provide a simple, transparent, and more affordable pricing model, reducing surprise drug costs at the pharmacy pick-up counter.
  4. CVS will retain its role in managing Blue Shield’s specialty pharmacy services.

What This Means For You

  1. No immediate Impact. This change will come into effect in 2025, so your Blue Shield clients and their employees will not be affected just now.
  2. Stay informed. The announcement is big news in the industry. Many of your clients and their employees will hear about it. Familiarize yourself and stay current on this development so that you can answer any questions from your clients.
  3. Be the go-to advisor for your clients and prospects. The cost and availability of prescription drugs is a consistent pain point for your clients. With this change, Blue Shield is tackling the problem head on. Use this as a discussion point in your sales conversations about pharmacy benefits.

We will continue to keep you updated on this development. Contact us with any questions at 800.696.4543 or info@claremontcompanies.com.

Additional Resources

Blue Shield of California

Blue Shield’s New Partners

 

Contact us today for a Blue Shield quote.

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Reminders

Small Business Incentive Program

Renewal Rewards Program
Blue Shield increased the points earned for every new membership in Tandem PPO and Virtual Blue PPO plans. You can earn:

Bundled Saving Program
The 10% specialty discount is a perpetual program that is applied when a dental and/or vision plan is added to a new or existing small business medical group.

Relaxed Participation Promotion
The Relaxed Participation Promotion was extended through December 31, 2023.

More information and plan summaries can be found in Blue Shield’s Q4-2023 Medical Sales Guide and Specialty Sales Guide.

Contact us today for a Blue Shield quote.

Get a Quote


Resources

COVID-19 Resources

 

Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.


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