Health plan information

Trio HMO plan

The Trio HMO plan is made up of a network of local doctors, specialists and hospitals that work closely together to coordinate your care more efficiently, resulting in lower monthly premiums. To enroll in Trio HMO:

• You and your eligible dependents must enroll in the same plan and you must also live or work within the Trio HMO service area. Visit blueshieldca.com/triocheck for a listing of the Trio service areas.

• You must choose a primary care physician (PCP) for yourself and your covered dependents. Each member of your family can choose a different physician and medical group.

Exclusive Trio HMO plan benefits

Access+ HMO plan

With the Access+ HMO plan, you:

• Must choose a primary care physician (PCP) who coordinates all your care as well as refers you to specialists and hospitals within their medical group. Each member of your family can select a different physician and medical group.

• Will pay a fixed copayment for most covered services like doctor visits, urgent care and emergency care.

Shield Spectrum PPO plan

The Shield Spectrum Preferred Provider Organization (PPO) plan allows you to:

• See any doctor you choose for most services.

• Self-refer to specialists.

• Usually pay less for services that are provided by PPO network providers.

• Pay a copayment or coinsurance for most services after the plan’s deductible has been met.

Pharmacy Benefits

Prescription drug benefits are an important part of your Blue Shield health plan.

Pharmacy benefits for Trio HMO, Access+ HMO^® and Shield Spectrum PPO℠ plans are administered by Express Scripts. For information about your prescription drug coverage, visit express-scripts.com or call Express Scripts Customer Service at the phone number listed on the back of your pharmacy ID card.