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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.
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In response to the temporary closure of most dental offices, Principal has announced the following actions:
Fully-insured dental groups (both contributory and voluntary) will receive a 10% premium credit on their June through October 2020 invoices. The premium credit calculation is based on the prior month’s billed premium2.
A $7 payment for personal protective equipment (PPE)3 will be paid to in-network providers with each member’s dentist visit from June 1 through December 31, 2020. This payment will help offset the additional expenses for dental offices to maintain up-to-date infection control procedures and to reduce the risk of exposure to members. Additionally, this payment may help decrease the member’s out-of-pocket costs.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
1 Excludes self-funded coverage.
2 Self-accounting customers can calculate a 10% reduction in premium for their June-October 2020 billing.
3 PPE payment does not count toward the member calendar year maximum. Eligible visits are based on the date of service from June 1- December 31, 2020.
*Applies to all existing lines excluding accident and critical illness.
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