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Cigna + Oscar Withdraws from The Small Group Market

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 – Large Group 2025 Plan Updates

Blue Shield of California – Large Group 2025 Plan Updates

Blue Shield of California – Large Group 2025 Plan Updates

Jun 3, 2024, 3 Minute Read

As part of its commitment to providing comprehensive and affordable healthcare solutions, Blue Shield of California is expanding its large group medical plans for 2025. These enhancements are designed to provide more comprehensive coverage options to employers with 101-299 employees.

The Expanded 2025 Large Group Plan Portfolio Includes:

Virtual Blue PSP portfolio will include five of the most popular plan designs. Several will be HSA-compatible:

The most popular Full PPO Savings plans will be available with the pharmacy Value Formulary, providing more client choices:

Assisted Reproductive Technology riders with varying dollar maximums and coinsurance levels for fertility coverage flexibility will be offered on these plans:

IRS Minimum Deductible for HSA Compatible Plans

To meet the 2025 IRS minimum deductibles for HSA-compatible plans, all of the January 1, 2025 PSPs have been updated to comply with the new guidance. The changes include:

New HMO Pharmacy Riders

Based on market demand for a lower premium products, Blue Shield will introduce a new Enhanced RX $15/50% pharmacy rider option in 2025. With this rider, Tier 1 will feature a $15 copayment encouraging generic drugs. Tiers 2-4 will apply a 50% coinsurance, up to $250 maximum per prescription. These riders will be available for either the Plus or Value formulary.

Factor Pharmacy Network

As part of Pharmacy Care Reimagined, Blue Shield of California has transformed how members receive specialty medications for rare bleeding disorders like hemophilia. Members with hemophilia now have more network options to receive high-quality and comprehensive care management.

Starting January 1, 2024, Blue Shield:

Offer your prospects and clients Blue Shield’s diverse range of affordable plans tailored to the needs of large groups (101-299 employees).

Contact us today for a Blue Shield large group quote.

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Resources

COVID-19 Resources

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


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