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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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In just one year, more than 23,500 Blue Shield of California members enrolled in Wellvolution® and reclaimed their health by prioritizing their health and well-being, reporting weight loss, reducing stress, and reversing chronic conditions such as diabetes.
Wellvolution’s innovative digital and community health network platform uses decades of research and leading technology to deliver personalized support, offering nearly 60 digital apps and 30,000 brick-and-mortar community locations, the largest network of such providers in the nation. Best of all, Wellvolution is available to most Blue Shield members at no additional cost.
The top reason members joined Wellvolution was to lose weight, with about 13,000 participants reporting they lost a total of more than 83,000 pounds in the first six months of the program. Other top reasons for joining were to move more, reduce stress, and eat more healthily. And, since the COVID-19 pandemic, engagement has spiked 10 times compared to pre-pandemic levels.
First Year Results
More than half of the program participants were matched with programs tailored to address specific health conditions or risks such as reversing or preventing diabetes, lowering high blood pressure and cholesterol, and eliminating the need for prescription drugs.
Wellvolution programs that address specific health issues are measured for clinical outcomes, which are established quality assurance and improvement standards in the medical industry. Data from Wellvolution’s best-performing programs show sustained clinical outcomes for members in normalization of A1C numbers* or at least a 5% weight loss. Among these programs:
Program Outcomes
Below are some member outcomes from three popular, clinically proven Wellvolution digital programs that helped members address health issues such as diabetes, high blood pressure, high cholesterol, asthma, and allergies:
Members get access to innovative health programs personalized to improve well-being at no additional cost. With support from experts and coaches, and digital tools to analyze and achieve health goals, Wellvolution helps members:
Learn about Blue Shield’s preferred pricing and well-being discounts.
*AIC is a blood test that measures a person’s average blood sugar levels over the past three months; it is used to diagnose risk for prediabetes and Type 2 diabetes.
Visit Blue Shield’s Broker Connection to learn more.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.