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- Finding a provider is easy.Just click on the links below and find one near you today!
- 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."
- PPO Find a Doctor
- Find a Doctor TutorialsWatch our tutorials on how to use the Find a Doctor tool.
Introducing our new mental health resource hub, powered by CredibleMind
Available at no extra cost
CredibleMind offers many different resources, all in one place. You can navigate by topic, including everything from stress and anxiety to happiness and resilience.
With this resource hub, you can:
A wealth of helpful information awaits you.
With this resource hub, you can:
- Take assessments. Learn more about your mental health and the changes you can make today.
- Access articles, videos, podcasts, and more. Get information on topics you care about from a variety of sources.
- Find a peer support group. Connect with others who know what you’re going through.
- Get news on the latest mental health research. Gain a deeper understanding of critical subjects such as parenting, friendship, and more.
A wealth of helpful information awaits you.
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.
New hire resources
PPO 25 plan
With the PPO plan, you can:
- See any doctor you choose for most services
- Self-refer to specialists
- Usually pay less for services that are provided by PPO network providers
- Pay a copayment or coinsurance for most services after the plan’s deductible has been met
- 2023-2024 PPO 25
- 2023-2024 PPO 25 SBCSummary of benefits and coverage
- 2023-2024 PPO 25 EOCEvidence of Coverage
- PPO Find a Doctor
- Resources
- Watch Find a Doctor video tutorialsFrequently asked questions about using the Find a Doctor tool
- Video: PPO plan basics
- Nondiscrimination and Accessibility Requirements & Language Assistance Services
- Group Service Contract
Pharmacy benefits
Prescription drug benefits are an important part of your Blue Shield health plan.
Understanding your pharmacy benefits can help you save money:
- 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
- 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
- Specialty drug listList of specialty drugs that are only available through a Blue Shield Network Specialty Pharmacy. Select drugs may not be available for distribution through the Network Specialty Pharmacy in which case it may be obtained through a non-network specialty pharmacy.
- Preventive drug listRefer to this preventive drug list to see drugs for which health reform requires coverage at $0 member share cost.
- Contraceptive drug listRefer to this contraceptive drugs list to see drugs and devices covered at $0 member share of cost.
- Vaccine listRefer to this vaccine list for vaccines covered at participating retail pharmacies and to locate pharmacies available for vaccine administration.
- Value-based Tier Drug ListRefer to this list of drugs that are covered at no charge, or at an otherwise reduced cost-share.
Find a Doctor
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."
- PPO Find a Doctor
- Find a Doctor TutorialsWatch our tutorials on how to use the Find a Doctor tool.
Blue Shield always tries to show the most up-to-date provider information in our Find a Doctor tool, but this information can change at any time. If you are unable to find your provider, please call (888) 499-5806.
Programs in the spotlight
Save yourself a trip to the doctor's office
Teladoc® virtual care
Talk to a board-certified Teladoc medical doctor or a licensed mental health professional by phone or video.
Thinking about a healthier lifestyle?
Get personalized support from Wellvolution®.
This digital platform includes programs designed to help you reach your health goals. You choose the areas to focus on:
- Lose weight
- Treat diabetes
- Quit smoking
- Lower stress
- Manage anxiety
- Support mental health
Mental health benefits
One of the most important factors in addressing your mental health is finding a clinician you trust when and where you need it.
Your Blue Shield health plan provides coverage for mental health or substance abuse care in-person or where ever you are using your smartphone, tablet, or computer – all within the privacy of your own home.
Your Blue Shield health plan provides coverage for mental health or substance abuse care in-person or where ever you are using your smartphone, tablet, or computer – all within the privacy of your own home.
More programs and services
- 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.
- NurseHelp 24/7Immediate answers to your health questions
- Prenatal programGet support before, during, and after your pregnancy
- Preventive careLearn how your preventive care benefits can help keep you healthy.
- Care Management Program (Shield Support)Get support managing conditions such as diabetes and depression.
- Wellness discount programsGet help living healthier with a wide range of discount programs.
- Non-emergency preventive care at CVS MinuteClinics®
- Non-emergency preventive care at Target Clinics
- Vaccines at network retail pharmacies
COVID-19 Information
COVID-19: What you need to know
Visit our COVID-19 resource page below for the latest information on:
Vaccine Information by CA county
Important update: Blue Shield will waive copays, coinsurance, and deductibles for COVID-19 treatments for a limited time.
Learn how to file a claim for COVID-19 test reimbursement.
- coverage for testing and treatment
- getting care
- vaccines
Vaccine Information by CA county
Important update: Blue Shield will waive copays, coinsurance, and deductibles for COVID-19 treatments for a limited time.
Learn how to file a claim for COVID-19 test reimbursement.
*Blue Shield is not a financial institution and does not provide tax advice or accounts, employers can choose from HSA, HRA, HIA, FSA and LPFSA accounts through our integrated platform with HealthEquity. This is a summary only, and may or may not apply to a particular individual or group. Blue Shield does not provide any of these services–the vendor does. Employers should consult a tax adviser before deciding whether these options are a good fit for them. Members should consult with a financial adviser to determine if an HSA, HRA, HIA, FSA or LPFSA is a good financial fit for them.
* These discount program services are not a covered benefit of your Blue Shield of California, Blue Shield of California Life & Health Insurance Company (Blue Shield Life), or self-insured health plan, and none of the terms or conditions of the Blue Shield, Blue Shield Life, or self-insured 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 or self-insured plan participants should access those covered services prior to using the discount program. Members or self-insured plan participants 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, Benefit Booklet or Certificate of Insurance/ Policy. 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.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks 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., a health company committed to changing lives by guiding people to better health in their communities.
NurseHelp 24/7 and LifeReferrals 24/7 are service marks of Blue Shield of California.