Health benefits for Merchants, Mates, Captains, and Office Crew members in California
Excludes stores: Arroyo Grande, Chico, Monterey, Morgan Hill, Napa, Novato, Pacific Grove, Petaluma, Redding, San Luis Obispo, Templeton
Enhanced wellness programs
Compare your Blue Shield plan options
Access+ HMO plan
In-network out-of-pocket costs:- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit: $25
- Specialist office visit: $25
- Generic drugs: $10/30-day supply
Plan highlights:
- Access to providers in our full HMO network
- Each member must select a Primary Care Physician (PCP)
- Predictable costs—fixed copayments for services
- $0 copay for virtual care (medical and mental health)
- Includes travel reimbursement for select services
Trio HMO plan
In-network out-of-pocket costs:- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit: $25
- Specialist office visit: $25
- Generic drugs: $10/30-day supply
Plan highlights:
- Access to Trio HMO network providers only
- You must live in the Trio HMO service area
- Each member must select a Primary Care Physician (PCP)
- $0 copay for virtual care (medical and mental health)
- Includes travel reimbursement for select services
EPO plan (with Virtual Blue)
In-network out-of-pocket costs:- Deductible (individual): $500
- Deductible (family): $1,500
- Primary care visit (virtual/in-person): $0/$25
- Specialist visit (virtual/in-person): $0/$25
- Generic drugs: $10/30-day supply
Plan highlights:
- Same benefits as current EPO plan plus more virtual care options
- Choose virtual or in-person doctors, in-network only
- $0 copay for virtual-only providers (replaces Teladoc visits)
- Self-refer to virtual or in-person specialists
- Includes travel reimbursement for select services
PPO plan (with Virtual Blue)
In-network out-of-pocket costs:- Deductible (individual): $500
- Deductible (family): $1,000
- Primary care visit (virtual/in-person): $0/$25
- Specialist visit (virtual/in-person): $0/$35
- Generic drugs: $10/30-day supply
Plan highlights:
- Same benefits as current PPO plan plus more virtual care options
- Choose virtual or in-person doctors, in or out of network
- $0 copay for virtual-only providers (medical and mental health)
- Self-refer to virtual or in-person specialists
- Includes travel reimbursement for select services
HDHP PPO plan (with Virtual Blue)
In-network out-of-pocket costs:- Deductible (individual): $5,000
- Deductible (family): $10,000
- Primary care visit (virtual/in-person): $0/20%
- Specialist office visit (virtual/in-person): $0/20%
- Generic drugs: $10/30-day supply
Plan highlights:
- Same benefits as current PPO plan plus more virtual care options
- $0 copay for virtual-only providers (medical and mental health)
- Self-refer to virtual or in-person specialists
- Paired with a Health Savings Account (HSA)
- Includes travel reimbursement for select services
Learn about your pharmacy benefits
Blue Shield pharmacy benefits offer convenience and savings on prescription drugs.
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Access to retail pharmacies, including CVS, Costco, Safeway, Vons, and more
- $0 copays for certain preventive and contraceptive drugs
- $0 or reduced copays for drugs to treat chronic conditions
- Up to 90-day supplies at retail and Amazon Pharmacy home delivery
- Pharmacy FAQs
Explore programs and services
- Get care at home
- DispatchHealth®DispatchHealth brings urgent medical care for illness or injury directly to your home, typically for the same cost as an urgent care center visit. You must live in the DispatchHealth service area.
- LifeReferrals 24/7SMAccess round-the-clock support from experts for personal, family, and work issues.
- LifeSpring meal delivery (Trio plan only)LifeSpring provides chef-inspired, ready-to-heat meals for eligible Trio members experiencing a serious illness.
- NurseHelp 24/7SM (Access+ and Trio plans only)Receive health advice from registered nurses at any time.
- Teladoc (Access+ and Trio plans only)Speak with doctors and mental health professionals by phone or video.
- Virtual care 24/7 (Virtual Blue plans only)Consult with virtual primary care doctors about your health condition via phone or video, day or night.
- Access care away from home
- Away From Home Care (Access+ and Trio plans only)Students, long-term travelers, and family members living apart can rely on access to health care from Blue Cross Blue Shield plans in select states.
- Call the Car (Trio plan only)Eligible Trio HMO members who have a serious illness can access non-emergency medical transportation through Call the Car.
- MinuteClinicAccess walk-in health care from registered nurses every day at CVS and Target. HMO members should check with their doctor's office before visiting a retail clinic.
- Urgent care centersVisit urgent care centers when your doctor is not available, saving you time and money compared to an emergency room visit.
- Vaccines at retail pharmacyFlu shots and other preventive vaccines provided at network pharmacies.
- Jump start your well-being
- Active & Fit programFitness membership sponsored by Trader Joe's and available to crew members at no additional cost.
- Mental health resourcesCredibleMind, our mental health website, offers a wealth of resources such as mental health assessments, peer support groups, articles, videos, podcasts, and more.
- Fitness Your Way™Access network fitness centers on a budget you can live with.
- Preventive careStay stay up to date on your annual tests, screenings, and immunizations.
- Wellness discountsSave money on vision exams, fitness club memberships, massage services, and more.
- Wellvolution®Take advantage of personalized digital programs that support weight loss, mental health, diabetes management, and more.
- Manage your condition
- Care management programGet help from a dedicated healthcare team who can explain treatments and coordinate care for issues like chronic pain or diabetes.
- Fitness and physical therapyWork virtually with physical therapists and personal trainers to improve mobility, strength, and flexibility. Program targets joint and muscle pain.
- Maternity supportAccess virtual support from specialists and coaches during your pregnancy and postpartum to help you return to work.
Access+ HMO is a registered trademark of Blue Shield of California.
NurseHelp 24/7 is a service mark of Blue Shield of California.
LifeReferrals 24/7 is a service mark of Blue Shield of California.
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.