Blue Shield Trio HMO Plans

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Big News! Health Net is Now Available Through Claremont Insurance!

Why Choose Health Net?
✔ Lowest rates in the market – Affordable options without compromising quality.
✔ Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
✔ Flexible HMO options – Networks to fit nearly every group statewide and every budget.
✔ Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
✔ Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
✔ Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.

Start Including Health Net in Your Quotes Today!
Need guidance on networks, plan designs, or have questions? We’re here to help!

Call us at 800.696.4543 | Email us at info@claremontcompanies.com

Apr 26, 2021, 3 Minute Read

Blue Shield’s Trio HMO plans are a great way for small businesses to lower healthcare costs without sacrificing the coverage they need. With its quality network of providers (over 17,000 doctors in 26 counties) and enhanced customer service, Trio keeps healthcare costs – and, in turn, rates and premiums – as low as possible.

Benefits for Employers

With a simple way to maintain a strong benefits program while reducing unnecessary expenses, Trio offers:

Lower benefits costs without shifting the cost to the employee through higher deductibles and copays.
Typically lower premiums than Blue Shield’s Access+ HMO®, estimated at 12% to 15% less, depending on the region.
– The statewide average rate difference between Trio HMO and Access+ HMO is 18%.
Cost trends lower than Blue Shield’s Access+ HMO or full PPO, which can bring stabilization to annual price increases.
More coordinated care, which can translate to faster returns to work and a higher level of employee wellness and productivity.

Benefits for Employees

Designed to offer convenience, quality, and affordability, Trio HMO comes standard with the following benefits:

360˚ customer service with Shield Concierge (helpful for employers with a small or no HR team).
$0 24/7 virtual care consults online or by phone with Teladoc.
$0 virtual mental health support with Teladoc*.
$0 first visit on-demand doctor house calls with Heal™.
myStrength digital program that helps members deal with stress, anxiety, sleep, and more*.
Extensive pharmacy network that includes major chains.
Option to self-refer to specialists within the same medical group.
Access to healthy foods at a reduced price with Healthy Savings^®.
– Healthy Savings is included at no additional cost.
– Savings of up to $50 each week.
– 22,00 participating retail stores nationwide.
Urgent and emergency care coverage worldwide.
$0 meal delivery program for qualified patients recovering from a serious illness with LifeSpring.
$0 non-emergency medical transportation services for eligible Trio members who have a serious illness with Call the Car.

*Effective with new or renewing 2021 plans.

The Difference Between Trio HMO and Full Network PPO Plans

HMO (Health Maintenance Organization) offers guided care with your doctor.
Members partner with a doctor in their local network to coordinate their care at lower costs.

PPO (Preferred Provider Organization) offers care on your own terms.
Members enjoy the flexibility to see doctors in a larger network and the ability to customize their care.

Employer groups with current Blue Shield small group coverage will be able to find easy-to-use Trio HMO rate comparisons in their upcoming renewal statement.

Trio HMO Resources

For help presenting Trio HMO 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.