Welcome
SISC
members
Contact us
Shield Concierge (HMO plans only)
Phone: (855) 599-2657
7 a.m. - 7 p.m. PT; M-F
Member Services (PPO plans only)
Phone: (855) 599-2650
7 a.m. - 7 p.m. PT; M-F
Blue Shield 65 Plus (HMO plan)
Phone: (800) 776-4466
8 a.m. - 8 p.m. PT; M-F
Mental Health Service Admin (MHSA)
Access+ HMO plan: (877) 263-9952
HDHP or PPO plan: (800) 378-1109
Have you scheduled your preventive care visit?
Take charge of your health today
Preventive care is key to finding possible health issues early. Learn about the preventive care services covered under your plan. Find out which health screenings and immunizations are right for you and your family.
When your health care becomes complicated, you don’t have to go it alone
With Care Management from Shield Support, you’ve got a team of nurses, health coaches, and other specialists by your side – at no additional cost to you.
Your health plan options
Prepare yourself for your benefits enrollment
Give yourself a better experience this year. Follow these simple steps to help you prepare and transform your open enrollment from a stressful event into an empowering one.
SISC PPO, Tandem, HSA, Minimum Value, and Bronze Plans
These PPO plans are a self-funded plans administered by Blue Shield of California. With a PPO plan, you can see any doctor you choose for most services. You can also self-refer to specialists. You will usually pay less for services that are provided by PPO network providers.
For most services, you will need to meet the plan’s deductible before Blue Shield begins coverage. Once your deductible is met, you’ll pay a copayment or coinsurance for most services and your out-of-pocket costs will be based on whether you see network or non-network providers. You will usually pay less when you use network providers.
Out-of-network services are not covered for preventive services, acupuncture, family planning, arthroscopy, cataract, etc. for PPO members.
Through the BlueCard® Program, PPO members can access urgent care services across the country and around the world. You can receive urgent care services from any provider; however, using the BlueCard Program can be more cost-effective and may eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. To locate a BlueCard provider, please call (800) 810-BLUE or go to Find a Doctor.
For most services, you will need to meet the plan’s deductible before Blue Shield begins coverage. Once your deductible is met, you’ll pay a copayment or coinsurance for most services and your out-of-pocket costs will be based on whether you see network or non-network providers. You will usually pay less when you use network providers.
Out-of-network services are not covered for preventive services, acupuncture, family planning, arthroscopy, cataract, etc. for PPO members.
Through the BlueCard® Program, PPO members can access urgent care services across the country and around the world. You can receive urgent care services from any provider; however, using the BlueCard Program can be more cost-effective and may eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. To locate a BlueCard provider, please call (800) 810-BLUE or go to Find a Doctor.
Local Access HMO plan
With our Local Access HMO plan you will:
- Only pay a fixed copayment for most services
- Be asked to select a primary care physician (PCP) to coordinate your care and refer you to specialists and hospitals within their medical group.
Trio HMO plan
Our Trio HMO plan:
- Has no deductible, just fixed copays.
- Is typically more affordable than other plans.
- Features a select network of local providers who closely coordinate your care.
- Offers a concierge service to help you with everything from benefit questions to scheduling doctor’s appointments.
Access+ HMO plan
Our Access+ HMO plan offers the same benefits as the Access+ HMO but at a lower monthly premium. To enroll in the HMO plan:
- You and your eligible dependents must enroll in the same plan and you must also live or work within the HMO service area.
- 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.
Medicare Advantage - Blue Shield 65 Plus (HMO) plan
Blue Shield 65 Plus (HMO) includes Part D coverage, which provides prescription drug coverage, providing you the convenience of having both your medical and prescription drugs covered through one plan.
Find a provider
Our virtual assistant can help you find a provider
- Find providers in all other states
- Our virtual assistant is available to help you find a provider.Do you need your primary care physician's (PCP's) ID number? Once you find your PCP, select the More info button.
- Advanced provider searchSearch for providers in California by multiple criteria such as gender, language, etc. Select your plan's Find a Doctor link below to begin your search. To find your PCP’s ID number, click on the doctor’s name and select View details under "Primary Care Physician ID."
- Access+ HMO Find a Doctor
- Trio HMO Find a Doctor
- Tandem PPO Find a Doctor
- PPO Find a Doctor
- Find a Doctor TutorialsWatch our tutorials on how to use the Find a Doctor tool.
Pharmacy benefits
Access+ HMO, SISC PPO, Tandem, and HSA eligible plans
Your prescriptions are administered through Navitus. To access information about your prescription drug coverage, view your formulary, locate nearby pharmacies and more, visit navitus.com.
SISC SOCCCD plan
Your prescription drug benefits are administered through Blue Shield. To access information about your drug coverage log into your Blue Shield account.
Programs and services in the spotlight
Programs offered through SISC
EAP, expert medical opinions, 24/7 physician access and free generic medications programs are not affiliated with Blue Shield of California.
Maternity care that fits into your life
The Maven Maternity Program is designed to give you and your partner digital and virtual support for your pregnancy and postpartum needs – at no extra cost. You can also get support if you have experienced a pregnancy loss.
Decrease your stress
Fitness Your Way TM offers access to virtual classes, gyms with no long-term contracts, and more.
All programs and services
- Away From Home Care® program – available only to Access+ and Trio HMO members and their dependentsStay covered when you're away from home for extended periods.
- Care Management Program from Shield SupportGet support managing conditions such as diabetes and depression.
- Experian (Identity Protection Services)Identity Protection Services
- Fitness Your Way™Access network fitness centers on a budget you can live with.
- Identity theft protectionProtecting your financial well-being is as important as protecting your health.
- LifeReferrals 24/7SM *Experienced professionals are ready to help you with personal, family, and work issues at any time.
- Maternity ProgramGet support before, during, and after your pregnancy.
- Network retail pharmacy vaccine programGet vaccines for the flu, shingles, and more at a network retail pharmacy.
- NurseHelp 24/7SM *Registered nurses are available to answer your health questions at any time, every day.
- Preventive careLearn how your preventive care benefits can help keep you healthy.
- Shield AdvocateOur Shield Advocate program offers short- and long-term support to optimize your benefits, health, and quality of life. An outreach specialist will contact you to understand your needs, discuss how we can best support you, and connect you with a care manager. You can be certain that your medical history and information will be kept confidential.
- Target Clinics – available only to PPO plan membersGet walk-in non-emergency health care at Target Clinics across California.
- Wellness discount programs*Get help living healthier with a wide range of discount programs.
- External Review ApplicationThis appeal application request is only for previously denied claims by Blue Shield of California. This is for an external review of a denied claim, medical service or expense. Please note that this must be submitted within 4 months of the denial or original claim.
* The wellness discount program services are not a covered benefit of your Blue Shield of California health plan, and none of the terms or conditions of the Blue Shield health plan apply. The networks of practitioners and facilities in the discount programs are managed by external program administrators, including any screening and credentialing of providers. Blue Shield does not review the services provided by discount program providers for medical necessity or efficacy, nor does Blue Shield make any recommendations, representations, claims, or guarantees regarding the practitioners, their availability, fees, services, or products. Some services offered through the discount program may already be included as part of the Blue Shield plan covered benefits. Members should access those covered services prior to using the discount program. Members who are not satisfied with products or services received from the discount program may use the grievance process described in their Evidence of Coverage, Disclosure Form, Evidence of Coverage and Disclosure Form, or Benefit Booklet. Blue Shield reserves the right to terminate this program at any time without notice.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks of Blue Shield of California.