Blue Shield Q1-2023 Updates

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Blue Shield - New Virtual Blue Plans

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.

Oct 3, 2022, 3 Minute Read

Below are the Q1-2023 updates announced by Blue Shield of California. Make sure to enroll and take advantage of the Small Business Incentive Program and the Renewal Rewards Program.

Q1-2023 Rates

Rates are now available for quoting through PRISM, our free and easy online quoting system.
The Q1-2023 rate action is a statewide average of 2.1%.

BSCA Medical Rate Action

Medical Plan Updates

On and off-exchange plans have minimal cost share changes which will impact the plan names for 2023.
The Bronze HMO 7000/70 for 2022 is only available on the Trio network. For 2023, the plan will be expanded and available on the Access+ and Local Access+ network in addition to the Trio network.
– Professional services are not subject to a deductible which allows members to access services before meeting the high deductible.
Effective January 1, 2023, the Trio ACO HMO network will expand to include additional parts of Monterey (19 new zip codes added).

Plan Comparison Tool and Network Comparison Tool

To help support your open enrollment meetings, learn about Blue Shield’s broker-friendly digital tools.

Specialty Plan Updates

Eight new dental PPO plans will be added:

Bronze DPPO/$1500/MAC
Bronze DPPO/$1500/MAC/Child Only Ortho
Bronze Voluntary DPPO/$1500/MAC
Bronze Voluntary DPPO/$1500/MAC/Child Only Ortho
Gold DPPO/$1500/MAC
Gold DPPO/$1500/MAC/Adult and Child Ortho
Gold DPPO/$2000/MAC
Gold DPPO/$2000/MAC/Adult and Child Ortho

Teladoc

Blue Shield members have access to Teladoc’s national network of U.S. board-certified physicians. Teladoc medical doctors are available 24/7/365 by phone or video. Get the details.

Relaxed Participation Program

Extended through December 31, 2023. Learn more.

2023 Broker Roadshow Recording, Slides, and Q&A

If you missed the recent Blue Shield of CA Q1-2023 Small Business Broker Roadshow, view the recording (password: Blue123!), presentation slides, and Q&A.

Broker Bonus Programs

Small Business Incentive Program – Extended through June 30, 2023.
Earn points for qualified sales and redeem them for rewards from hundreds of great options, such as gift cards, electronics, and more. Or convert points into cash with a Visa gift card.
– Keep track of what you’ve earned by enrolling in the Blue Shield Producer Rewards Program. To get started, sign up through the Broker Connection.
Renewal Rewards for Producers
Earn points for each new employee and dependent enrolled in a Tandem PPO plan. Additional bonus points are awarded for dental, vision, and/or life plans. Double points are awarded for each new enrolled member in all three specialty plans.
Groups written through Claremont are eligible for both programs.

Contact us today for a Blue Shield quote and start earning rewards!

Get a Quote

Resources

COVID-19 Resources

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

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