Welcome
Irvine USD
employees
Contact us
Blue Shield will cover most diagnostic and screening COVID-19 tests ― including over-the-counter at-home tests ― at no out-of-pocket cost to you.
This means you do not need to pay out-of-pocket costs (copay, coinsurance, or deductible) for most diagnostic and screening COVID-19 tests. This will last as long as these state and federal guidelines for testing coverage are in place:
Do you have a complex health coverage question about the Tandem PPO plan?
Schedule a one-on-one consultation with an expert Blue Shield representative when it’s convenient for you.
Your health plan offerings
Tandem PPO plan
Our Tandem PPO plan:
- Offers the flexibility of a regular PPO plan but is typically more affordable because it provides access to a select network of providers
- Allows you to see any doctor or specialist − in or out of the Tandem PPO Network − but you will save money when you see a provider in the network
- Offers Shield Concierge personalized service to help you with everything from understanding benefits to scheduling doctor's appointments
- 2022 Tandem PPO plan documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Benefit Booklet
Exclusive Tandem PPO plan benefits
- Healthy Savings® program − available only to Tandem PPO subscribersGet discounts on eligible healthy foods at participating grocery stores.
- myStrength − available to Tandem PPO members age 13 and olderUse digital tools to help manage stress, sleep better, and feel more resilient.
- Shield ConciergeGet answers to questions about your medical plan benefits and more.
- Walk-in non-emergency care at CVS MinuteClinics® and Target ClinicsGet convenient, affordable non-emergency health care at CVS MinuteClinics and Target Clinics across California.
Access+ HMO plan
With the Access+ HMO® plan, you:
Search for doctors and other providers in the Access+ HMO Network.
- Have no deductible – just fixed copayments for most services like doctor visits, urgent care, and emergency care
- Have access to one of the largest provider networks in California, with more than 13,000 primary care physicians (PCPs), 350 hospitals, and 48,000 specialists
- Choose a PCP who will coordinate your care and refer you to specialists and hospitals within their medical group/Independent Practice Association (IPA)
Search for doctors and other providers in the Access+ HMO Network.
- 2022 Access+ HMO plan documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Evidence of Coverage and Disclosure Form
Find a provider
Tandem PPO providers
With the Tandem PPO plan, you can see any doctor or specialist in or out of the network. However, you will save money when you see a provider in the Tandem PPO Network.
Important: To verify your doctor’s status in the Tandem PPO Network, call Shield Concierge at (855) 599-2657:
- In some cases, doctors who have a medical practice at multiple locations may be in the Tandem PPO Network at one location ― but out of the network at another.
- Blue Shield always tries to show the most up-to-date provider information in our Find a Doctor tool, but this information can change at any time. To check on a doctor’s status, please call Shield Concierge at the number above.
Access+ HMO providers
You may need your selected primary care physician's (PCP’s) ID number when you enroll in the Access+ HMO plan for the first time. To find this number in the Find a Doctor tool, click on your doctor’s name and then select View details under “Primary Care Physician ID.”
Pharmacy benefits
Select your plan's link below for information about your benefits.
Programs and services in the spotlight
Have you scheduled your annual preventive care visit?
Take charge of your health today.
Preventive care is key to finding possible health issues early, when they're easier to treat.
Learn about the preventive care services covered under your plan. Find out which health screenings and immunizations are right for you and your family.
Preventive care is key to finding possible health issues early, when they're easier to treat.
Learn about the preventive care services covered under your plan. Find out which health screenings and immunizations are right for you and your family.
Wellvolution
Join Wellvolution®, our digital platform for health and well-being, at no extra cost. It offers over 50 tested apps and programs to help you achieve your health goals.
You choose the areas to focus on:
You choose the areas to focus on:
- Prevent and reverse disease – Prevent diabetes and reverse cardiovascular disease and other conditions.
- Eat better – Get help with meal planning, use nutritional calculators, and lose weight.
- Exercise more – Get support with movement tracking, workout routines, and coaching.
- Manage stress – Meditate, practice mindfulness, and more. Two popular mental health apps, Headspace and Ginger, are now available through Wellvolution.
- Sleep better – Track sleep patterns and enjoy relaxation exercises for better rest.
- Quit smoking – Get the support you need to stop smoking with nicotine replacement therapy and other methods.
Maternity care that fits into your life
The Maven Maternity Program is designed to give you and your partner digital and virtual support for your pregnancy and postpartum needs – at no extra cost. You can also get support if you have experienced a pregnancy loss.
All programs and services
- Away From Home Care® program – available only to Access+ HMO plan membersStay covered when you're away from home for extended periods.
- Care Management Program from Shield SupportGet support managing conditions such as diabetes and depression.
- Fitness Your Way™Access network fitness centers on a budget you can live with.
- Healthy Savings® program − available only to Tandem PPO plan subscribersGet discounts on eligible healthy foods at participating grocery stores.
- Identity theft protectionProtecting your financial well-being is as important as protecting your health.
- LifeReferrals 24/7SM – available only to Access+ HMO plan membersExperienced professionals are ready to help you with personal, family, and work issues at any time.
- Maternity ProgramGet digital and virtual support for your pregnancy and postpartum needs.
- myStrength − available only to Tandem PPO plan membersUse digital tools to help manage stress, sleep better, and feel more resilient.
- Network retail pharmacy vaccine programGet vaccines for the flu, shingles, and more at a network retail pharmacy.
- NurseHelp 24/7SMRegistered nurses are available to answer your health questions at any time.
- Preventive careLearn how your preventive care benefits can help keep you healthy.
- Shield Concierge – available only to Tandem PPO plan membersGet answers to questions about your health plan benefits and more.
- Teladoc® virtual medical and mental health servicesTalk to a board-certified medical doctor or a licensed mental health professional by phone or video for a $5 copay.
- Walk-in non-emergency care at CVS MinuteClinics® and Target Clinics – available only to Tandem PPO plan membersGet convenient, affordable non-emergency care at CVS MinuteClinics and Target Clinics across California.
- Wellness discount programs*Get help living healthier with a wide range of discount programs.
- Wellvolution®Get access to over 50 tested apps and programs to help you achieve your health goals. Two popular mental health apps, Headspace and Ginger, are now available through Wellvolution.
* The wellness discount program services are not a covered benefit of your Blue Shield of California, Blue Shield of California Life & Health Insurance Company (Blue Shield Life), or self-insured health plan, and none of the terms or conditions of the Blue Shield, Blue Shield Life, or self-insured health plan apply. The networks of practitioners and facilities in the discount programs are managed by external program administrators, including any screening and credentialing of providers. Blue Shield does not review the services provided by discount program providers for medical necessity or efficacy, nor does Blue Shield make any recommendations, representations, claims, or guarantees regarding the practitioners, their availability, fees, services, or products. Some services offered through the discount program may already be included as part of the Blue Shield plan covered benefits. Members or self-insured plan participants should access those covered services prior to using the discount program. Members or self-insured plan participants who are not satisfied with products or services received from the discount program may use the grievance process described in their Evidence of Coverage, Disclosure Form, Evidence of Coverage and Disclosure Form, Benefit Booklet or Certificate of Insurance/ Policy. Blue Shield reserves the right to terminate this program at any time without notice.
Wellvolution is a registered trademark of Blue Shield of California. Wellvolution and all associated digital and in-person health programs, services, and offerings are managed by Solera, Inc., a health company committed to changing lives by guiding people to better health in their communities.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks of Blue Shield of California.