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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 recommends employers develop a COVID-19 testing policy and have members seeking a COVID-19 test visit a network provider or testing site. To help you and your clients understand how coverage works for various workplace COVID-19 testing scenarios, and when pre-authorization and/or physician authorization is required, download Blue Shield’s Understanding COVID-19 Testing for Employer Groups guide.
Blue Shield COVID-19 Testing for Employer Groups
The Blue Shield Workplace COVID-19 Testing Guide details the factors that determine coverage:
Additional Resources:
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.