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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.

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COVID-19 Carrier Resources and Website Links

COVID-19 Carrier Resources and Website Links

Blue Shield of California

Continuing 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

Chinese Community Health Plan (CCHP)

Choice Builder

Claremont Behavioral Services (EAP)

COVID-19 Resource Center
Numerous helpful resources on emotional and mental health during the pandemic.

Covered California

Delta Dental

Health Net

Member Coronavirus Resources
Latest news for members.

Humana

  • Employer COVID-19 FAQs
    Provides information on waived COVID-19 testing costs, waived telemedicine costs, early prescription refills, and member support line. Also provides information for employers on reduced participation, billing, premium grace periods, and re-hire waiting periods.
  • Small Business Resource Guide
    Resources and information to help businesses navigate the COVID-19 pandemic.
  • Member Coronavirus Resources
    Includes best practices, expanded coverage and benefits, and FAQs.
  • Member FAQs
    Answers to questions on symptoms, how to stay healthy, coverage, and travel.

Kaiser Permanente

MetLife

Oscar

Principal

  • Dental Premium Credit
    Fully-insured dental groups (both contributory and voluntary) will receive a 10% premium credit on their June through October 2020 invoices.
  • PPE Payments to In-Network Providers
    A $7 payment for PPE will be paid to in-network providers with each member dentist visit from June 1 through December 31, 2020. This payment will help offset the additional expenses for dental offices to maintain up-to-date infection control procedures and to reduce the risk of exposure to members. Additionally, this payment may help decrease member out-of-pocket costs.
  • Rate pass for all groups under 500 lives for May 2020 – August 2020.
  • COVID-19 Advisor Site
    For all COVID-19 information and resources.
  • Insurance Solutions News & Resources Archive
    Topics by product line, including group benefits.
  • PPP Expense Tracker
    To help businesses document their expenses in order to maximize Payroll Protection Program loan forgiveness.
  • SMB Customer Insights & Resources
    Insights from Principal’s panel of small-to-medium-sized businesses (SMBs) and industry research.
  • Managing Uncertainty
    Includes information on how Covid-19 applies to Principal insurance coverage.
  • Insurance Coverage and COVID-19
    Answers to common employer and employee concerns.

Reliance Matrix

Sharp Health Plan

Member Coronavirus Resources
Coronavirus FAQs for members.

UnitedHealthcare

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