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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 PrismOn March 1, 2023, Governor Gavin Newsom declared a state of emergency in numerous California counties to assist with disaster response and relief efforts.
In the affected counties, Blue Shield of California is providing assistance to its members to ensure their safety and well-being. Members of Blue Shield of California and Blue Shield of California Promise Health Plan who qualify can receive assistance. Get the details.
For assistance, members can call the Customer Service number on their member identification (ID) card. If they do not have their member ID card, they can contact:
For lost member ID cards, members can view and print their card at www.blueshieldca.com/login or www.blueshieldca.com/promise. Or they can use the Blue Shield of California mobile app to access their ID card.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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Effective January 2023, Blue Shield of California is launching two new Virtual Blue plans, available in both the Small Group and Large Group portfolios.
The new Virtual Blue plans give members 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.
Employer Advantages Include:
Employee Advantages Include:
Learn more about Virtual Blue, including product resources, video explainers and plan summaries.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Blue Shield of California continues to provide value to your small group clients. Here’s a summary of the updates to prepare for Q2.
Q2-2023 Rates
Medical Plan Changes
There are minimal changes to Blue Shield’s medical plan portfolio.
More information and plan summaries can be found in Blue Shield’s updated April 1, 2023 Medical Sales Guide and Specialty Sales Guide.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Choice Medical Group Successful Contract Negotiation
Blue Shield of California has agreed to a multiyear provider contract negotiation with Choice Medical Group Apple Valley and Choice Medical Group Barstow in San Bernardino County.
Members who received contract termination letters will now receive “good news” letters with information on the successful negotiation.
Rady Children’s Health Network and Hospital Successful Contract Negotiation
Blue Shield of California and Blue Shield of California Promise Health have reached contract agreements with Rady Children’s Health Network (RCHN) and Rady Children’s Hospital in San Diego County.
Members who received contract termination letters regarding Rady Children’s Health Network (RCHN) will now receive “good news” letters with information on the successful negotiation.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Blue Shield of California has agreed to a multiyear provider contract negotiation with Choice Medical Group Apple Valley and Choice Medical Group Barstow in San Bernardino County.
Members who received contract termination letters will now receive “good news” letters with information on the successful negotiation.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Blue Shield of California has not yet reached an agreement on rates and terms of contracts with Rady Children’s Health Network (RHCN), Rady Children’s Hospitals in San Diego, and Choice Medical Group. Without an agreement, the terminations will become effective as follows:
Blue Shield is preparing a smooth transition to alternate PCPs and medical groups so members will continue to have uninterrupted access to quality care. If a member’s PCP is part of another in-network medical group, they’ll be assigned that same PCP. Otherwise, members will be assigned a new PCP based on geography and availability. PCP reassignment will not occur until the end of the contract period. Members may change their PCP at any time by using the Blue Shield Find a Doctor tool.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Effective January 1, 2023, Blue Shield of California Trio HMO and Local Access+ networks will expand in San Diego to include UC San Diego (UCSD) Health.
Not all UCSD Health locations or providers will be in the Trio HMO or Local Access+ networks. Blue Shield recommends using their Find a Doctor tool which has been updated to reflect this network expansion. You can also reference Blue Shield’s Network Comparison Tool for network options in San Diego.
Blue Shield members enrolled in a Trio HMO or Local Access+ plan can select primary care physicians, and gain access to specialists and facilities at these UCSD Health clinics:
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
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Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Effective January 1, 2023, Blue Shield Trio is expanding to 27 total zip codes in Monterey County through a new ACO partnership with Aspire Health.
Covered communities will include Marina, Monterey, Pacific Grove, Pebble Beach, Seaside, Big Sur, Carmel Valley, Castroville, Chualar, Gonzales, Moss Landing, Salinas, Soledad, and Spreckels.
View the webinar recording (passcode: a0!@&LX7), and download the presentation slides and Trio HMO Monterey brochure.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
If you missed the recent Blue Shield of CA Q1-2023 Small Business Broker Roadshow, view the recording (password: Blue123!), presentation slides, and Q&A.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.
Below are the Q1-2023 updates announced by Blue Shield of California. Make sure to enroll and take advantage of the Small Business Incentive Program and the Renewal Rewards Program.
To help support your open enrollment meetings, learn about Blue Shield’s broker-friendly digital tools.
Eight new dental PPO plans will be added:
Blue Shield members have access to Teladoc’s national network of U.S. board-certified physicians. Teladoc medical doctors are available 24/7/365 by phone or video. Get the details.
Extended through December 31, 2023. Learn more.
If you missed the recent Blue Shield of CA Q1-2023 Small Business Broker Roadshow, view the recording (password: Blue123!), presentation slides, and Q&A.
Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.
Get The Latest News with Text Messaging!
Your success is important to us, and we’re actively working on new solutions to support you throughout the year. To get the latest news via text messaging in the future, simply provide your cell phone number here.