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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.
Login To PrismContinuing Enrollment Accommodations During COVID-19
Small Group Special Enrollment Period (SEP) extended through September 30, 2020. Plan selection downgrades allowed through September 30, 2020.
Teladoc $0 Cost-Sharing Benefit Extended Through September 30, 2020
Teladoc services with no cost-sharing include both health and behavioral health. Also available to members who do not have Teladoc as a plan benefit.
Extended New Business Submission Deadlines
The new group submission deadline has been extended for April, May, June, and July effective dates. Groups must be submitted by the last business day of the group effective month.
Premium Payment Plan Program
A flexible premium payment plan option for employers whose April, May or June 2020 premium payment is delinquent. Premium Payment Plan Program FAQs.
COVID-19 Testing and Treatment
Blue Shield is extending cost sharing waivers (co-payments, coinsurance, and deductibles) through September 30, 2020, for COVID-19 testing and treatment.
For Brokers
For Members
COVID-19 Resource Center
Numerous helpful resources on emotional and mental health during the pandemic.
Member Coronavirus Resources
Latest news for members.
Member Coronavirus Resources
Coronavirus FAQs for members.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.