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Urgent care options

Compare your Blue Shield plan options


Access+ HMO plan

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $0
  • Deductible (family): $0
  • Primary care office visit: $40
  • Specialist office visit: $50
  • Generic drugs: $5/30-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)
  • Self-refer to specialists within some medical groups

Trio HMO plan

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $0
  • Deductible (family): $0
  • Primary care office visit: $25
  • Specialist office visit: $25
  • Generic drugs: $5/30-day supply

Plan highlights:

Shield Signature plan

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $0
  • Deductible (family): $0
  • Primary care office visit: $10
  • Specialist office visit: $10
  • Generic drugs: $5/30-day supply

Plan highlights:

PPO plan (for active employees)

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $250
  • Deductible (family): $500
  • Primary care office visit: $10
  • Specialist office visit: $10
  • Generic drugs: $15/30-day supply

Plan highlights:
  • Freedom to visit any doctor - in or out of our PPO network
  • Self-refer to specialists - no PCP referral required
  • $0 copay for virtual care (medical and mental health)
  • Costs include coinsurance after meeting the deductible
  • Coverage for medical care across the United States

PPO Savings (Bronze) plan

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $4,000
  • Deductible (family): $4,000
  • Primary care office visit: 20%
  • Specialist office visit: 20%
  • Generic drugs: $10/30-day supply

Plan highlights:
  • Freedom to visit any doctor - in or out of our PPO network
  • Self-refer to specialists - no PCP referral required
  • $0 copay for virtual care (medical and mental health)
  • Costs include coinsurance after meeting the deductible
  • Coverage for medical care across the United States

PPO Needles plan

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $0
  • Deductible (family): $0
  • Primary care office visit: $10
  • Specialist office visit: $10
  • Generic drugs: $10/30-day supply

Plan highlights:
  • Freedom to visit any doctor - in or out of our PPO network
  • Self-refer to specialists - no PCP referral required
  • $0 copay for virtual care (medical and mental health)
  • Costs include coinsurance after meeting the deductible
  • Coverage for medical care across the United States

Virtual BlueSM PPO Needles plan (new)

In-network out-of-pocket costs (effective 7/27/24)
  • Deductible (individual): $0
  • Deductible (family): $0
  • Primary care office visit: $40
  • Specialist office visit: $40
  • Generic drugs: $5/30-day supply

Plan highlights:
  • Only for members in the Needles work location
  • Choose virtual or in-person doctors, in or out of network
  • $0 copay for virtual-only providers (medical and mental health)
  • Cost-sharing applies to visits with in-person providers
  • Vitals kit for tracking your medical stats from home
   

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
  • Up to 90-day supplies at retail and mail service pharmacies
  • $0 shipping from our mail service pharmacy
  • Pharmacy FAQs

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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.

Access+ HMO is a registered trademark of Blue Shield of California.