- You and your eligible dependents must enroll in the same plan and you must also live or work within the Trio HMO service area. Visit blueshieldca.com/triocheck for a listing of the Trio service areas.
- 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.
*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
- Trio HMO 25 planSummary of Benefits
- Trio HMO 25 planSummary of Benefits and Coverage
- Trio HMO 25 PlanEvidence of Coverage (revised February 16, 2024)
- Trio HMO 25 plan - EspañolResumen de beneficios
- Trio HMO 25 - EspañolResumen de Beneficios y Covertura
- Resources
- Trio HMO Find a Doctor
- All about Trio HMO
- Eye Exam Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
- Affordable and predictable
- Pay only the copayment for most covered services like doctor visits, urgent care and emergency care.
- Your primary care physician (PCP) coordinates all your care as well as refers you to specialists and hospitals within their medical group/Independent Practice Association (IPA).
Note: When you enroll in the HMO plan for the first time, you must choose a PCP for yourself and your covered dependents. Each member of your family can choose a different physician and medical group/IPA.
*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
- Access+ HMO 25 planSummary of Benefits
- Access+ HMO 25 planSummary of Benefits and Coverage
- Access+ HMO 25 planEvidence of Coverage (revised February 16, 2024)
- Access+ HMO 25 - EspañolResumen de Beneficios
- Access+ HMO 25 - EspañolResumen de Beneficios y Cobertura
- Resources
- Access+ HMO Find a Doctor
- Eye Exam Evidence of Coverage
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
- 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.
Note: This 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 - EspañolResumen de Beneficios
- HDHP 5000 plan - EspañolResumen de Beneficios y Cobertura
- Resources
- PPO Find a Doctor
- Eye Exam Evidence of Coverage
- 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
- Present your current member ID card to access your pharmacy benefit. Your member ID card contains RxBIN and RxPCN information needed by the pharmacy to be able to process your prescription(s).
- 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 of cost
- Vaccine list (For PPO, EPO, and HDHP plans only)Vaccines covered at participating retail pharmacies
- Value-Based Tiered Drug ListDrugs covered at no charge or at reduced cost share