Covered California Price Protection

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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.

Mar 20, 2015, < 1 Minute Read

When identical plans are offered on and off the exchange, the plan and premium are required to be the same. Your clients may be confident that they have the most competitive price in the market when you recommend Covered California. The price protection can represent significant savings. For example rates for identical Health Net plans are as much as 8% higher outside of Covered California.

Gain a better understanding of Covered California’s unique features and small group benefits with these valuable sales guides:

Health Net Pricing Advantage Through Covered California
Pricing comparisons and a sample rate analysis for identical Health Net plans sold through Covered California, a private exchange, and Health Net direct.
Advantages for Agents: Why Sell Covered California and How You Benefit
Nine advantages and broker benefits, plus comparisons of Covered California, private exchange, and Health Net direct features.
Advantages for Employers
Eight reasons why a Covered California plan delivers value to small businesses, plus comparisons of Covered California, private exchange, and Health Net direct features. (Distribute to your prospects and clients.)

Get the resources and expertise you need to enhance your Covered California sales efforts and grow your business.

Questions? Need assistance?
Contact the small group experts at 800.696.4543 or info@claremontcompanies.com.