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 (medical and mental health)
- 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.
- Access to retail pharmacies, including Safeway/Vons, Costco, CVS, 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 mail service pharmacies
- Pharmacy FAQs
Explore programs and services
- Get care at home
- 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 up to date on your annual exams, 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.