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Shield Concierge
Phone: (855) 599-2657
7 a.m. - 7 p.m. Pacific Time
Monday through Friday
Jumpstart your fitness journey this spring!
Join Fitness Your Way® by March 31 for a $0 enrollment offer
Unlock your potential with virtual classes, nationwide gym access, and more by using the code BSCENROLL4FREEMAR when you sign up.
Have you scheduled your annual preventive care visit?
Preventive care is key to finding possible health issues early. Learn about your preventive care benefits and recommended health screenings.
HMO Gold Trio Plan ($25 copay)
With the HMO Gold Trio Plan, you:
  • 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
Plus, if your primary care physician (PCP) is in the Trio HMO network, you can keep your doctor when you switch to this plan.

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.
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
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
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
Introducing Virtual BlueSM
Virtual Blue is only offered to members assigned to work locations in the Needles, Trana, and Baker areas. Virtual Blue became effective as of January 13, 2024. Please check with your benefits administrator to make sure you are eligible to enroll in this plan.

Virtual Blue is designed to keep your out-of-pocket costs low while giving you the flexibility to access virtual or in-person care. No referrals are needed.

When you become a Virtual Blue member, you’re free to keep seeing your current doctors and pay the applicable in-network or out-of-network cost share.* Your costs will be lower when using in-network providers. Use our search tool to find out if your doctors are in the Virtual Blue PPO Network.

Virtual Blue gives you:
  • $0 deductible and $0 copays for unlimited visits with the plan’s virtual-only providers ― primary, specialty, and mental health care included
  • The option to see providers in person from the Virtual Blue PPO Network or from outside the network at the applicable cost share*
  • Access to 24/7 medical care via phone or video (Health coaches and triage nurses are also available 24/7 via in-app chat.)
  • A dedicated virtual care team made up of your primary care physician, a health coach, and a mental health care manager
  • A Virtual Blue Vitals Kit, including a blood pressure cuff, smart scale, and thermometer, so you can track your stats from home
To learn more, see “Plan resources” below.

* In-network and out-of-network cost sharing applies for in-person care. Costs are generally lower for services provided by in-network providers. See the plan’s Evidence of Coverage for more information. Virtual Blue SM is a service mark of Blue Shield of California.
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.”
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.
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.
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 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.
Discover many other well-being apps at wellvolution.com.
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.


* 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.