Carrier Spotlight: Cigna + Oscar

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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.

Jan 26, 2021, 2 Minute Read

With rates comparable to Kaiser, and networks that include UCSF, Stanford, and Sutter, Cigna + Oscar brings together the power of Cigna’s nationwide and local provider networks, and Oscar’s member-focused tech-driven experience, to deliver small group health insurance that understands the unique needs of San Francisco Bay Area small businesses and their employees.

Offer your groups (1-100 employees) based in Alameda, Contra Costa, San Francisco, San Mateo, and Santa Clara counties (only 50% of the enrolled group must live in the Bay Area – down from 70%) lower rates than HMOs and PPOs, a personalized customer experience, and easy to understand benefits.

The Cigna + Oscar Advantage

Health Plans That Save Money
– Choose between two quality networks, LocalPlus® and Open Access Plus, and 16 plans across all metal tiers, to save on health insurance that fits your groups’ lives and needs. 15% savings between Open Access Plus network and LocalPlus networks with the only difference being PAMF/Sutter.
– 30%+ savings on bronze plans.
Nationwide Network
– With Cigna Open Access Plus, members can access a nationwide network of doctors, hospitals, and specialists that can be seen without referrals.
Free and Unlimited Virtual Care
– Access to hundreds of doctors on call, available anytime for $0 copay online or through the Oscar app.
Easy Administration
– Simple tools and dedicated support to manage employee benefits.
Prescriptions Done Right
– Save on prescriptions with Express Scripts® and Accredo, and easily refill them right from your phone.
Personalized Care Team for Members
– Dedicated support to help employees find the right doctors and care in their area; answer questions about benefits, claims and billing; and coordinate care and prepare for upcoming procedures.
Business Concierge for Employers
– A team that knows your clients’ team by name, and is always there to answer questions and help them better understand plan benefits.
Healthy Minds and Bodies
– Step-tracking rewards of up to $100 per year and access to Cigna’s behavioral health network for mental health support and resources.

2021 Broker Bonus Program

First Case Bonus
Earn a $1,000 bonus when you enroll your first C+O group with four or more eligible employees. Effective dates from January 1, 2021 to March 31, 2021 are eligible.

To learn more about Cigna + Oscar, view our recorded webinar and web page.

Check out the May 2020 survey conducted by Harris Poll on behalf of Cigna + Oscar for insights into how COVID-19 is transforming Northern California small business health insurance needs, and how they’re thinking about the health of their employees.

Contact your sales team or quote@claremontcompanies.com to start quoting Cigna + Oscar today. And take advantage of the two bonus programs!

Get a Quote

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