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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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Blue Shield has announced an average 15% rate reduction for Bronze, Silver, and Gold plans for 1-50 groups, and an average 10% rate reduction for 51-100 groups in Q4 2022. The rate reduction does not apply to Platinum and Diamond tier plans.
And to provide your clients with easy-to-understand options, 22 new DPPO plans were introduced in January 2022. The plans (listed below) are in five categories, mirroring the naming convention of medical plans: Bronze/Bronze Voluntary, Silver, Gold, Platinum, and Diamond. Plus, there’s now more flexible member access to the dental cleaning benefits included in their plans. Instead of the previously allowed one cleaning in a 6-month period, as of January 2022, members are eligible for two cleanings in a consecutive 12-month period.
To learn more, check out the Blue Shield Specialty Sales Guide. Rates for marketed and closed dental plans can be viewed on Broker Connection.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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