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Thinking about a healthier lifestyle?
Get personalized support from Wellvolution®
This digital platform includes programs designed to help you reach your health goals:
- Lose weight
- Treat diabetes
- Quit smoking
- Support your mental health
- And more
Save yourself a trip to the doctor's office with Teladoc
Talk to a Teladoc® board-certified medical doctor or a licensed mental health professional by phone or video for a $0 copay.
Your health plan options
HMO Gold Trio Plan ($25 copay)
With the HMO Gold Trio Plan, you:
Important: To enroll in Trio, you and your eligible dependents must enroll in the same plan and must also live or work within the Trio HMO service area. To see if you are within the Trio HMO service area, visit blueshieldca.com/triocheck.
- Save money with the lowest-cost plan option from Blue Shield
- Have no deductible
- Pay a fixed copayment for most covered services like doctor visits, urgent care, and emergency care
- Have access to a quality network of local doctors, specialists, and hospitals that work closely together to coordinate your care
Important: To enroll in Trio, you and your eligible dependents must enroll in the same plan and must also live or work within the Trio HMO service area. To see if you are within the Trio HMO service area, visit blueshieldca.com/triocheck.
- 2023-2024 HMO Gold Trio Plan ($25 copay) documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Summary of Benefits – en Español
- Summary of Benefits and Coverage – en Español
Exclusive HMO Gold Trio Plan benefits
- Away From Home Care program®Stay covered when you're away from home for extended periods.
- Call the Car serviceAccess non-emergency medical transportation services if you have a serious illness.
- LifeSpring meal delivery programGet prepared meals delivered right to your door if you have a serious illness.
HMO Platinum POS Plan
With the HMO Platinum POS Plan, you:
- Have the predictable out-of-pocket costs of an HMO plan with some of the flexibility of a PPO plan
- Choose a primary care physician (PCP) to coordinate and authorize your care under your HMO-level benefits
- Can see any doctor or specialist in the Blue Shield PPO Network without a referral from your PCP for select outpatient services
- 2023-2024 HMO Platinum POS Plan documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Summary of Benefits – en Español
- Summary of Benefits and Coverage – en Español
HMO Gold Access+ Plan ($40 copay)
With the Access+ HMO® Plan, you:
- Have no deductible
- Pay a fixed copayment for most covered services like doctor visits, urgent care, and emergency care
- Have access to one of the largest provider networks in California, with more than 13,000 primary care physicians (PCPs), 50,000 specialists, and 360 hospitals
- 2023-2024 HMO Gold Access+ Plan ($40 copay) documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Summary of Benefits – en Español
- Summary of Benefits and Coverage – en Español
PPO Non-Needles Plan
With the PPO Non-Needles Plan, you:
- Can see any doctor you choose for most covered services
- Can self-refer to specialists
- Will usually pay less for services that are provided by PPO Network providers
- Pay a copayment or coinsurance for most services after you meet the plan's calendar-year deductible
- 2023-2024 PPO Non-Needles Plan documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Summary of Benefits – en Español
- Summary of Benefits and Coverage – en Español
PPO Needles Plan
The PPO Needles Plan is only offered to members assigned to work locations in the Needles, Trona, and Baker areas. Please check with your benefits administrator to make sure you are eligible to enroll in this plan.
With the PPO Needles Plan, you:
With the PPO Needles Plan, you:
- Can see any doctor you choose for most covered services
- Can self-refer to specialists
- Will usually pay less for services that are provided by PPO Network providers
- Do not have a calendar-year deductible for in-network services
- Have a calendar-year deductible for out-of-network services, and will pay a copayment or coinsurance for these services after you meet the deductible
- 2023-2024 PPO Needles Plan documents
- Summary of Benefits
- Summary of Benefits and Coverage
- Summary of Benefits – en Español
- Summary of Benefits and Coverage – en Español
Find a provider
Search for doctors and other providers in California
How to find your primary care physician's (PCP's) ID number if you have an HMO plan
You may need your selected PCP’s ID number when you enroll in an HMO plan for the first time.
To find this number, select your plan's Find a Doctor link, and then Primary Care Physician. Once you find your PCP, click on your doctor’s name and then select View details under “Primary Care Physician ID.”
You may need your selected PCP’s ID number when you enroll in an HMO plan for the first time.
To find this number, select your plan's Find a Doctor link, and then Primary Care Physician. Once you find your PCP, click on your doctor’s name and then select View details under “Primary Care Physician ID.”
- HMO Gold Trio Plan ($25 copay)
- Find a Doctor in the Trio ACO HMO Network
- HMO Platinum POS Plan
- Find a Doctor in the Level 1 Access+ HMO Network
- Find a Doctor in the Level 2 PPO Network
- HMO Gold Access+ Plan ($40 copay)
- Find a Doctor in the Access+ HMO Network
- PPO Non-Needles Plan and PPO Needles Plan
- Find a Doctor in the PPO Network
- Find a Doctor TutorialsWatch our video tutorials on how to use Blue Shield's Find a Doctor tool.
Important notice about urgent care for HMO plan members
If you’re outside of your PCP’s service area – but within California – and you need urgent care, call Shield Concierge first at (855) 599-2657. They will assist you in locating an urgent care center near you that is contracted with Blue Shield.
If you go to an urgent care center that is not contracted with Blue Shield, you may need to pay for the services at the time of your visit. You will then need to complete the Subscriber's Statement of Claim Form and submit it to Blue Shield.
If you’re outside of your PCP’s service area – but within California – and you need urgent care, call Shield Concierge first at (855) 599-2657. They will assist you in locating an urgent care center near you that is contracted with Blue Shield.
If you go to an urgent care center that is not contracted with Blue Shield, you may need to pay for the services at the time of your visit. You will then need to complete the Subscriber's Statement of Claim Form and submit it to Blue Shield.
Pharmacy benefits
Understanding your pharmacy benefits can help you save money.
You may save money if your medication is a preferred prescription drug. Also, if you take covered maintenance drugs for long-term medical conditions or for chronic conditions such as diabetes, you can have a 90-day supply delivered through our mail service pharmacy. Shipping is free, and you may save on your copay. Or, you can get a 90-day supply of covered maintenance drugs from any participating retail pharmacy in Blue Shield’s pharmacy network.
Programs and services in the spotlight
Check out CredibleMind
CredibleMind offers many different mental health resources, all in one place. You can navigate by topic, including everything from stress and anxiety to happiness and resilience.
Choose from two popular mental health apps
You have a choice between Headspace and Headspace Care (formerly Ginger) through Wellvolution®
- Headspace® offers guided meditations on topics like stress and resilience, sleepcasts, yoga workouts, and other features.
- Headspace CareTM offers on-demand, confidential mental health support day or night through coaching, self-guided activities, and more.
Get maternity care that fits into your life
The Maven Maternity Program is designed to give you and your partner virtual support for your pregnancy and postpartum needs – at no extra cost. You can also get support if you have experienced a pregnancy loss.
All programs and services
- Care Management ProgramGet support managing conditions such as diabetes and depression.
- CredibleMind mental health resource hubFind resources on everything from stress and anxiety to happiness and resilience.
- Fitness Your Way™Access network fitness centers on a budget you can live with.
- Identity theft protectionProtect your financial well-being. It's as important as protecting your health.
- LifeReferrals 24/7SMGet confidential support to help you meet life's challenges.
- Maternity ProgramGet digital and virtual support for your pregnancy and postpartum needs.
- Network retail pharmacy vaccine programGet vaccines for the flu, shingles, and more at a network retail pharmacy
- NurseHelp 24/7SMTalk with a registered nurse anytime you have health-related questions.
- Preventive careLearn how your preventive care benefits can help keep you healthy.
- Shield ConciergeGet answers to questions about your medical plan benefits and more.
- Teladoc® virtual medical and mental health servicesTalk to a board-certified Teladoc medical doctor or licensed mental health professional by phone or video for a $0 copay.
- Wellness discount programsGet help living healthier with a wide range of discount programs.
- Wellvolution®Get lifestyle-based tools and support to lose weight, treat diabetes, support mental health, and more
* 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.
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., a health company committed to changing lives by guiding people to better health in their communities.
© 2023 Headspace Inc.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks of Blue Shield of California.