With the EPO plan, you get access to doctors and specialists in the full PPO network without a referral. However, except for emergencies, you have no out-of-network benefits.
- Access to doctors and specialists in the broad PPO in-network
- Access in-network PPO specialists without needing a referral
*Your 2023 Evidence of Coverage document was updated on February 16, 2024. Refer to the last page of the plan document for more information.
- 2023 Plan documents
- EPO 25 planSummary of Benefits
- EPO 25 planSummary of Benefits and Coverage
- EPO 25 planEvidence of Coverage (revised February 16, 2024)
- EPO 25 plan - EspañolResumen de beneficios
- EPO 25 plan - EspañolResumen de Beneficios y Cobertura
- Resources
- EPO Find a Doctor
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
- See any doctor you choose for most services
- You can self-refer to specialists
- While you have access to out-of-network providers, you will usually pay less for services that are provided by PPO network providers.
*Your 2023 Evidence of Coverage document was updated on February 16, 2024. Refer to the last page of the plan document for more information.
- 2023 Plan documents
- PPO 25 planSummary of Benefits
- PPO 25 planSummary of Benefits and Coverage
- PPO 25 planEvidence of Coverage (revised February 16, 2024)
- PPO 25 plan - EspañolResumen de Beneficios
- PPO 25 plan - EspañolResumen de Beneficios y Cobertura
- Resources
- PPO Find a Doctor
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
- See any doctor you choose for most services.
- You can also self-refer to specialists.
- While you have access to out-of-network providers, you will usually pay less for services that are provided by PPO network providers.
Note: The plan is paired with a federal tax-free health savings account (HSA) to help you save money. The HSA works a lot like a savings account. You contribute pre-tax dollars and use them to pay for your deductible and qualified out-of-pocket medical expenses
*Your 2023 Evidence of Coverage document was updated on February 16, 2024. Refer to the last page of the plan document for more information.
- 2023 Plan documents
- HDHP 5000 planSummary of Benefits
- HDHP 5000 planSummary of Benefits and Coverage
- HDHP 5000 planEvidence of Coverage (revised February 16, 2024)
- HDHP 5000 plan - EspañolResumen de Beneficios
- HDHP 5000 plan - EspañolResumen de Beneficios y Cobertura
- Resources
- PPO Find a Doctor
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
- You may save if your medication is a preferred prescription drug
- 90-day covered medications for chronic conditions through our mail service pharmacy ships free
- Your current member ID card will reflect the following:
- RxBIN = 004336
- RxPCN = 77993333
- Mail service prescriptions
- Frequently asked questions
- Locate pharmacies
- Plus drug formularyRefer to your plan's drug formulary for a list of Blue Shield preferred generic and brand-name medications
- Plus drug formulary search tool
- Drug pricing toolFor Crew Members with a Blue Shield health plan, log in for detailed pharmacy plan information
- Specialty drug listOnly available through a Blue Shield Network Specialty Pharmacy. Select drugs may not be available through the Network Specialty Pharmacy, in which case it may be obtained through a non-network specialty pharmacy.
- Preventive drug listList of preventive drugs at $0 member share cost.
- Contraceptive drug listContraceptive drugs and devices covered at $0 member share cost.
- Vaccine listVaccines covered at participating retail pharmacies
- Value-Based Tiered Drug ListDrugs covered at no charge or reduced cost share