Blue Shield Tandem PPO Plans

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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.

May 10, 2021, 2 Minute Read

Designed to offer choice, quality, and flexibility, Blue Shield’s Tandem PPO plans are a great option for employers and employees looking to lower healthcare costs without sacrificing the advantages of PPO choice and flexibility.

Why Tandem is a Great Choice

Average 9% premium difference statewide between Tandem PPO plans and Full PPO plans.
Groups may offer Tandem PPO plans alongside Full PPO plans for added savings and flexibility.
The Tandem PPO Network gives members access to more than 55,000 doctors and 350 hospitals from the Full PPO Network.
All Blue Shield off-exchange PPO plans are available with the Full PPO Network or Tandem PPO Network and include providers in all 58 California counties.
Tandem PPO members have the same flexibility to visit a doctor or specialist without a referral.

Included with Tandem PPO Plans and Not Full PPO Plans:

360˚ customer service with Shield Concierge.
$0 first visit on-demand doctor house calls with Heal™*.
Discounts on groceries with Healthy Savings^®.
– Healthy Savings is included at no additional cost.
– Savings of up to $50 each week.
– 22,00 participating retail stores nationwide.

Additional Tandem PPO Benefits:

$0 virtual care consults and mental health support online or by phone with Teladoc*.
$0 delivery fee on prescriptions after Heal™ consults.
myStrength digital program that helps members deal with stress, anxiety, sleep, and more*.

*Effective with new or renewing 2021 plans.

The Difference Between Tandem PPO to Full PPO Network

Tandem PPO
Offers care on your own terms with more programs and features.

Full PPO Network
Offers a larger network of doctors and hospitals with great benefits.

Compare Tandem PPO to Full Network PPO

Tandem PPO Resources

For help presenting Tandem PPO options to current and prospective employer groups, contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

COVID-19 Resources

Blue Shield Resources

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.