Featured programs
Compare your Blue Shield plan options
HMO Gold Access+ plan ($40 copay)
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:
- 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
HMO Gold Trio plan ($25 copay)
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)
- Predictable costs ‒ fixed copayments for most services
HMO Platinum POS 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:
- Predictable HMO costs with some flexibility of a PPO plan
- Each member must select a primary care physician (PCP)
- Self-refer to specialists for select outpatient services
- $0 copay for virtual care (medical and mental health)
- Urgent and emergency care coverage worldwide
PPO Non-Needles plan
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
Virtual BlueSM PPO Needles plan
In-network out-of-pocket costs (effective 7/27/24):- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit (virtual/in-person): $0/$10
- Specialist office visit: $10
- Generic drugs: $10/30-day supply
Plan highlights:
- Only for members in the Needles, Trana, and Baker work locations
- 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 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 (HMO and PPO Non-Needles plans only)Access round-the-clock support from experts for personal, family, and work issues.
- LifeSpring meal delivery (Trio HMO plan only)LifeSpring provides chef-inspired, ready-to-heat meals for eligible Trio members experiencing a serious illness.
- NurseHelp 24/7SM (HMO and PPO Non-Needles plans only)Receive health advice from registered nurses at any time.
- Teladoc Health (HMO and PPO Non-Needles plans only)Speak with doctors and mental health professionals by phone or video.
- Virtual care 24/7 (Virtual Blue PPO plan 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 HMO 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 HMO 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
- CredibleMindCredibleMind, 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.
- 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.
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.