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:
- 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)
- Enhanced assistance from the Shield Concierge
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:
- Access to covered services from HMO or PPO providers
- Level 1 (HMO) offers fixed copays for most services
- Level 2 (PPO) provides access to select outpatient services
- Each member must select a primary care physician (PCP)
- $0 copay for virtual care (medical and mental health)
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 help you save on prescription drugs.
- Access to retail pharmacies, including CVS, Costco, Safeway, Vons, and more
- No-cost shipping for prescriptions ordered through Amazon Pharmacy
- Up to 90-day supplies at retail pharmacies and Amazon Pharmacy
- Specialty drugs available through a Network Specialty Pharmacy
- Pharmacy FAQs
Explore programs and services
- Get care at home
- LifeReferrals 24/7SM (Access+, Trio, and PPO plans only)Access 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+, Trio, and PPO plans only)Receive health advice from registered nurses at any time.
- Teladoc Health (Access+, Trio, and PPO 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 pharmaciesFlu shots and other preventive vaccines provided at network pharmacies.
- Jump start your well-being
- 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.
- Identity theft protectionProtect your financial well-being with credit monitoring, identity repair assistance, and identity theft insurance.
- Member Health RecordView your doctor visits, lab results, prescriptions, and more in one secure place.
- Preventive careStay 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.
- Maternity supportAccess virtual support from specialists and coaches during your pregnancy and postpartum to help you return to work.
- Fitness and physical therapyWork virtually with physical therapists and personal trainers to improve mobility, strength, and flexibility. Program targets joint and muscle pain.
© 2024 Teladoc Health, Inc. All rights reserved. Teladoc and the Teladoc logo are trademarks of Teladoc Health, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA-controlled substances, non-therapeutic drugs, and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services.
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.
Access+ HMO is a registered trademark of Blue Shield of California.