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Covered California for Small Business –
New Blue Shield Plans

Starting July 1, Covered California for Small Business (CCSB) is offering new Blue Shield plans, providing more options for enrollees. These plans include the Access+ HMO Network with Platinum, Gold, and Silver metal tier options, as well as the Bronze Trio HMO 7000/70. The two most popular Blue Shield High Deductible Health Plans (HDHP), Silver Full PPO Savings 2300/25% and Bronze Full PPO Savings 7000 plans, are also now available.

All of these plans offer benefits such as Wellvolution, Teladoc Mental Health, Nurse Help 24/7, LifeReferrals 24/7, and the Blue Card program for when members are outside of California.

For assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

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What emotional, behavioral and mental health services and benefits does Reliance Standard provide for employees and their families?

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Contact Claremont for more information.

What emotional, behavioral and mental health services and benefits does UnitedHealthcare provide for employees and their families?

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Contact Claremont for more information.

What services does Blue Shield offer for members with anxiety over this outbreak?

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Through September 30, 2020, Blue Shield is making Teladoc health, including behavioral health services, available with no member cost sharing for all members with access, including all Blue Shield fully insured commercial plans.

During this time, all Teladoc behavioral health services will be exempt from copays, regardless of the reason for the visit, including encounters with psychiatrists, psychologists, licensed clinical social workers, and marriage family therapists.

Mental health services also continue to be available from providers other than Teladoc. If the Evidence of Coverage (EOC) or Certificate of Insurance (COI) states that mental health services are available through Mental Health Services Administrator (MHSA) network, members can search for providers in the MHSA network through the provider directory. The standard office visit copay applies to MHSA Tele-behavioral health appointments.

If an employee is laid off and then re-hired, how long is the waiting period before they can join the medical plan?

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Blue Shield standard provision allows for waiving of waiting period if rehired within 6 months of cancellation of coverage. Employers should check their contract for further details.

Is Blue Shield allowing employer groups to change plan selections off-cycle to accommodate revenue and workforce reduction due to COVID-19?

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Blue Shield will allow a one-time buy-down (leaner plan design with lower premiums) change off-cycle for employers and employees to adjust their health plan selection to meet their current needs.

Note: rates for employees who choose a buy-down plan off-cycle will be based on the age of the member at the time of the change.

Learn more.

What is the “Premium Payment Plan” Program?

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Blue Shield has introduced a flexible payment program for the month of April, May and June for Individual and Family Plan and Medicare Supplemental plan members, and Small Business groups.

Learn more.

Disability: are there any exclusions for pandemics?

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No, there’s no exclusion for pandemics. COVID-19 is evaluated like any other medical condition.

Contact Claremont for more information.

Disability: are there any exclusions for pandemics?

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No, there’s no exclusion for pandemics. COVID-19 is evaluated like any other medical condition.

Contact Claremont for more information.

Disability: are there any exclusions for pandemics?

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No, there’s no exclusion for pandemics. COVID-19 is evaluated like any other medical condition.

Contact Claremont for more information.

Disability: are there any exclusions for pandemics?

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No, there’s no exclusion for pandemics. COVID-19 is evaluated like any other medical condition.

Contact Claremont for more information.

In our library, you’ll find carrier forms, applications, enrollment kits, broker bonuses, marketing resources, and more (video tutorial). However, not all carrier forms are available online.

If you don’t find what you are looking for, contact our team for help at 800.696.4543 or materials@claremontcompanies.com.