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Why Choose Health Net?
✔ Lowest rates in the market – Affordable options without compromising quality.
✔ Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
✔ Flexible HMO options – Networks to fit nearly every group statewide and every budget.
✔ Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
✔ Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
✔ Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.
Start Including Health Net in Your Quotes Today!
Need guidance on networks, plan designs, or have questions? We’re here to help!
Call us at 800.696.4543 | Email us at info@claremontcompanies.com.
Login To PrismBlue 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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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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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.
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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.
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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.
Join Blue Shield’s annual Broker Roadshow for an online preview of their 2023 small business portfolio which offers dependable, affordable, quality coverage and benefits.
Register to Attend One of The Two Roadshows:
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 has announced an average 15% rate reduction for Bronze, Silver, and Gold plans for 1-50 groups, and an average 10% rate reduction for 51-100 groups in Q4 2022. The rate reduction does not apply to Platinum and Diamond tier plans.
And to provide your clients with easy-to-understand options, 22 new DPPO plans were introduced in January 2022. The plans (listed below) are in five categories, mirroring the naming convention of medical plans: Bronze/Bronze Voluntary, Silver, Gold, Platinum, and Diamond. Plus, there’s now more flexible member access to the dental cleaning benefits included in their plans. Instead of the previously allowed one cleaning in a 6-month period, as of January 2022, members are eligible for two cleanings in a consecutive 12-month period.
To learn more, check out the Blue Shield Specialty Sales Guide. Rates for marketed and closed dental plans can be viewed on Broker Connection.
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 has announced the dates for their Q1-2023 Broker Roadshow:
An official invitation will follow soon. Mark your calendars!
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.
To ensure your success in Q4, below are the 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.
There are minimal changes to Blue Shield’s existing medical portfolio due to decreased out-of-pocket maximums in many plans, no actuarial value calculator changes resulting in minimal cost share changes, and Blue Shield’s focus on providing more valuable plan options for members.
For a list of the 2021 Small Business medical plans that changed names for 2022, download the flyer. And view the Blue Shield 2022 plans at a glance.
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.
Pregnancy termination services are now restricted or banned in several states as a result of the U.S. Supreme Court overturning Roe v. Wade.
In California, access to pregnancy termination services is protected by state law. However, Blue Shield of California members living in some other states may be negatively impacted by the change.
In response, Blue Shield is introducing a Travel Reimbursement Program for Pregnancy Termination Services. The program assists Blue Shield members living in states that implement restrictions or bans on pregnancy termination services with access to these services in other states where they remain legally available.
The program is available to members in all fully-insured and self-funded groups, except for those groups without pregnancy termination benefits or those groups that elect to opt out of the program. Get the details.
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.