Summary of Benefits - BlueShield PPO and HMO
Blue Shield plans in California
BLUE SHIELD MEDICAL INSURANCE EXPLAINED:
Additional Information
What are the benefits of enrolling in Blue Shield health insurance?
Enrolling in Blue Shield health insurance can provide a range of benefits, depending on the specific plan you choose. Here are some potential benefits of enrolling in Blue Shield health insurance:
- Access to a network of healthcare providers: Blue Shield has a large network of healthcare providers, including doctors, hospitals, and specialists, which can help you find the care you need.
- Coverage for essential health benefits: All Blue Shield health plans cover essential health benefits, such as preventive care, mental health services, prescription drug coverage, and more.
- Affordable healthcare options: Blue Shield offers a variety of health plans at different price points, which can help you find a plan that fits your budget.
- Wellness programs and resources: Blue Shield offers wellness programs and resources to help you improve your health and manage chronic conditions. These may include health coaching, disease management programs, and fitness discounts.
- Customer service support: Blue Shield offers customer service support to help you with questions or issues related to your health plan.
- Telehealth services: Many Blue Shield plans include telehealth services, which allow you to consult with a healthcare provider remotely through a video or phone call.
- Prescription drug coverage: Blue Shield plans typically include coverage for prescription drugs, which can help you save money on the cost of medications.
Overall, enrolling in Blue Shield health insurance can provide you with access to quality healthcare services and resources, and help you manage the cost of healthcare.
How does Blue Shield insurance compare with other medical insurance plans in California?
Blue Shield of California is one of several health insurance providers operating in California. The specific benefits, costs, and coverage options offered by Blue Shield of California will depend on the plan you select, as well as your individual healthcare needs and preferences.
However, compared to other health insurance plans in California, Blue Shield is generally considered to be a reputable and reliable provider. Some potential benefits of Blue Shield of California health plans compared to other plans in the state include:
- Network size: Blue Shield of California has a large network of healthcare providers, which can provide you with greater choice and flexibility when it comes to selecting a doctor or hospital.
- Affordable options: Blue Shield offers a range of health plans at different price points, which can help you find a plan that fits your budget.
- Access to wellness programs and resources: Blue Shield offers a variety of wellness programs and resources, such as health coaching and disease management programs, which can help you improve your health and manage chronic conditions.
- Telehealth services: Many Blue Shield plans include telehealth services, which can allow you to consult with a healthcare provider remotely.
Of course, there are also other health insurance providers in California that may offer similar benefits and advantages. It's important to compare the specific benefits, costs, and coverage options of different health insurance plans to determine which one is best for your individual needs and circumstances.
What are the disadvantages of enrolling in Blue Shield Health Insurance plans?
While there are many benefits to enrolling in Blue Shield Health Insurance plans, there are also some potential disadvantages to consider. Here are a few:
- Cost: Depending on the specific plan you choose, Blue Shield health insurance can be more expensive than other insurance providers. While the costs of premiums and deductibles can vary, it's important to carefully consider your budget and healthcare needs before selecting a plan.
- Limited coverage: Some Blue Shield plans may have limited coverage for certain medical procedures or services, which can result in higher out-of-pocket costs for you. It's important to carefully review the coverage details of any plan you are considering to ensure that it meets your healthcare needs.
- Out-of-network costs: If you receive care from a healthcare provider or hospital that is not in Blue Shield's network, you may be responsible for paying a larger portion of the cost of care. It's important to confirm the network status of any healthcare provider before receiving care to avoid unexpected out-of-network costs.
- Plan complexity: Blue Shield offers a variety of different health insurance plans, which can make it difficult to choose the right one for your needs. It's important to carefully compare the details of each plan to ensure that you select one that meets your healthcare needs and fits your budget.
Ultimately, the advantages and disadvantages of enrolling in Blue Shield Health Insurance plans will depend on your individual healthcare needs and preferences.
Are Blue Shield medical insurance plans cheaper if you enroll via CoveredCA?
Blue Shield medical insurance plans may be cheaper if you enroll via Covered California, but the cost can vary depending on a variety of factors, including your income, household size, and the specific plan you choose.
Covered California is the state's health insurance marketplace, which allows individuals and families to compare and enroll in health insurance plans from a variety of providers, including Blue Shield . If you enroll in a Blue Shield health insurance plan through Covered California, you may be eligible for financial assistance in the form of tax credits or subsidies, depending on your income.
These subsidies can lower your monthly premiums and out-of-pocket costs, making Blue Shield health insurance plans more affordable for many individuals and families. However, the exact amount of financial assistance you receive will depend on your income and other factors.
It's important to note that not all Blue Shield health insurance plans are available through Covered California, and the cost and availability of plans can vary depending on where you live in California. It's also important to carefully review plan details and compare options before enrolling in any health insurance plan to ensure that you choose a plan that meets your individual needs and budget.
Can you use Blue Shield of California throughout the USA?
Blue Shield of California is a regional health insurance company that primarily operates in the state of California. While Blue Shield does offer some plans that include coverage for out-of-network providers, these plans typically have higher out-of-pocket costs and may be subject to limited coverage outside of California.
If you are traveling outside of California and need medical care, you may be able to receive care from providers who participate in the BlueCard program. The BlueCard program is a network of providers across the United States who accept Blue Cross Blue Shield insurance, which is a separate but affiliated organization to Blue Shield of California.
If you have a Blue Shield plan that includes out-of-network benefits or access to the BlueCard program, you may be able to use your insurance to help cover the cost of care received outside of California. However, it's important to carefully review the details of your plan to understand any limitations or restrictions on out-of-state coverage.
How to use Blue Card program provided by Blue Shield?
If you are a member of a Blue Shield plan that includes access to the BlueCard program, you can use your Blue Shield insurance to receive care from providers who participate in the BlueCard network when you are outside of California. Here's how to use the BlueCard program:
- Find a participating BlueCard provider: You can search for participating providers on the Blue Cross Blue Shield website. You can search for providers by entering your location and the type of care you need.
- Show your Blue Shield ID card: When you visit a participating BlueCard provider, be sure to show your Blue Shield ID card. The provider will use the information on your card to verify your coverage and process your claim.
- Pay your share of the cost: Depending on your specific Blue Shield plan, you may be responsible for paying a portion of the cost of care received from an out-of-network provider. Be sure to review your plan documents to understand your out-of-pocket costs.
- Submit a claim: If the provider does not submit the claim on your behalf, you can submit a claim to Blue Shield for reimbursement. Be sure to save all receipts and documentation related to your care.
It's important to note that not all Blue Shield plans include access to the BlueCard program, and that the specific details of the program may vary depending on your plan. Be sure to review your plan documents or contact Blue Shield customer service for more information about the BlueCard program and how to use it.
What medical insurance plans are available via Blue Shield?
The Following medical insurance plans are available directly with Blue Shield
Silver 70 Off Exchange Trio HMO
Below are medical insurance plan offered by Blue Shield via CoveredCA. Blue Shield of California, like other health insurance providers, offers Enhanced Silver plans through Covered California. Enhanced Silver plans are a type of silver plan that provide additional cost-sharing reductions beyond the standard silver plan benefits.
Cost-sharing reductions are subsidies that help lower the out-of-pocket costs, such as deductibles, copayments, and coinsurance, for eligible individuals and families with lower incomes. Enhanced Silver plans offer further reduction in these out-of-pocket costs compared to standard silver plans, making them more affordable for eligible individuals and families.
To determine your eligibility for Enhanced Silver plans or other subsidies, it's best to visit the Covered California website or contact their customer service directly. You can also work with us! We are licensed insurance agents and can provide you with personalized information based on your specific healthcare needs, income, and other factors.
What is the income limit to qualify for enhanced silver plans?
The income limits to qualify for Enhanced Silver plans through Covered California, or any other health insurance exchange, are based on the federal poverty level (FPL) and vary depending on the household size. The FPL is updated annually and is used to determine eligibility for various subsidies, including cost-sharing reductions for Enhanced Silver plans.
As of 2023, the income limits to qualify for Enhanced Silver plans through Covered California for the 2023 plan year are as follows:
- For individuals: Household income between 138% and 250% of the federal poverty level
- For families of 2: Household income between 138% and 250% of the federal poverty level
- For families of 3: Household income between 138% and 250% of the federal poverty level
- For families of 4: Household income between 138% and 250% of the federal poverty level
The federal poverty level (FPL) table is available on our web site.
https://insurancecenterhelpline.com/coveredca
Note that these income limits are subject to change and may be different in subsequent years. It's always best to check the current income limits on the Covered California website or contact their customer service for the most up-to-date and accurate information on eligibility for Enhanced Silver plans or other subsidies.
What dental insurance plans are available via Blue Shield?
Blue Shield of California offers several dental insurance plans for individuals, families, and seniors. Here are the main dental insurance plans available through Blue Shield:
- Dental PPO: This plan provides access to a network of dental providers and allows you to choose any provider you want. It covers a range of preventive, basic, and major dental services, with higher coverage for in-network providers.
Best dental insurance for children with Orthodontics coverage:
($57/month, $2,000 annual coverage, Ortho)
Best dental insurance for dental implants:
Enhanced Dental PPO 50/2000 Lifetime Ortho
(71/month for adults, $2,000 annual coverage, 12 months waiting for major procedures)
- Dental HMO: This plan provides coverage for preventive and basic dental services through a network of participating dentists. It generally has lower monthly premiums and out-of-pocket costs than the Dental PPO plan.
Under age of 26 - $12.5/month
Ages 26+ - $15.5/month
Under age of 26 - $23.7/month
Ages 26+ - $25.9/month
Under age of 19 - $14/month
Ages 19+ - $13.4/month
Specialty DUO (SM) DENTAL + VISION PACKAGE
Under age of 26 - $43.5/month
Ages 26+ - $51.2/month
- Dental PPO and HMO via CoveredCA: You can purchase Blue Shield dental insurance through Covered California, which is the state's health insurance marketplace. When you apply for health insurance through Covered California, you can also enroll in a dental plan offered by Blue Shield. In fact, many people choose to enroll in both a health insurance plan and a dental plan through Covered California to ensure that they have comprehensive coverage for both medical and dental care. When you shop for dental insurance through Covered California, you will be able to compare plans from different insurance companies and select the one that best meets your needs and budget. You may also be eligible for financial assistance to help lower your monthly premiums and out-of-pocket costs, depending on your income and household size. To learn more about purchasing Blue Shield dental insurance through Covered California, you can visit the Covered California website. log into your CoveredCA and compare various dental insurance options. If you need help navigating medical and dental insurance plans via CoveredCa, we can help! Please reach out to us!
- Medicare Advantage Dental: This plan provides coverage for preventive, basic, and major dental services for seniors who have enrolled in a Medicare Advantage plan through Blue Shield. It includes a network of participating dentists and generally has lower out-of-pocket costs than traditional Medicare dental coverage. This plan is only available to those who are enrolling into a Medicare Advantage plan.
It's important to carefully review the details of each dental plan to determine which one is right for you based on your dental care needs, budget, and preferred providers. Blue Shield also offers a variety of dental discount programs and standalone vision insurance plans that you may want to consider.
Compare Kaiser & Blue Shield insurance
Kaiser Permanente and Blue Shield PPO are both popular health insurance providers in California. Here are some factors to consider when comparing the two:
- Provider network: Kaiser Permanente operates its own healthcare system, which includes hospitals, clinics, and doctors. Members of Kaiser Permanente plans typically have access to a wide range of in-network providers within the Kaiser system. Blue Shield PPO, on the other hand, has a larger network of doctors and hospitals, including providers outside of California.
- Cost: The cost of Kaiser Permanente and Blue Shield PPO plans can vary depending on the level of coverage and the specific plan. In general, Kaiser Permanente plans tend to be more affordable, with lower premiums and out-of-pocket costs. Blue Shield PPO plans can offer more flexibility in terms of provider choice, but may come with higher costs.
- Plan options: Both Kaiser Permanente and Blue Shield PPO offer a range of plan options, including HMO and PPO plans. Both Blue Shield and Kaiser Permanente also offer its own unique plan structure, with all medical services provided within the Kaiser Permanente system.
- Services and benefits: Kaiser Permanente is known for its focus on preventative care, with a range of wellness programs and online tools to help members manage their health. Blue Shield PPO plans may offer more flexible benefits, including coverage for alternative therapies and out-of-network care.
In summary, choosing between Kaiser Permanente and Blue Shield PPO will depend on your specific healthcare needs and preferences. If you value a provider network with a wide range of options, Blue Shield PPO may be a better fit. If affordability and a focus on preventative care are your top priorities, Kaiser Permanente may be a better option. It's important to compare plan details and costs to find the best fit for you.
Is it true that most doctors prefer to accept Blue Shield insurance?
Иt is important to note that the acceptance of insurance, including Blue Shield insurance, can vary depending on several factors, including the doctor's practice, location, and contractual agreements with insurance providers.
Blue Shield of California has an extensive network of providers, including doctors, hospitals, and other healthcare facilities, that participate in their network. These providers are considered "in-network" and generally have agreed-upon contracts and reimbursement rates with Blue Shield. However, it's always best to verify with individual providers if they accept Blue Shield insurance or any other specific insurance plan, as participation in insurance networks can change over time.
It's also important to note that insurance networks may have different tiers or levels of coverage, and not all doctors may accept all plans or be part of all network tiers. It's always a good idea to check with your specific doctor or healthcare provider to confirm their participation in your specific Blue Shield plan or any other insurance plan you may have, and to understand any potential out-of-pocket costs, such as copayments, deductibles, or coinsurance, associated with your insurance coverage.
What happens if you see a doctor out of network with Blue Shield PPO?
Blue Shield PPO plans typically have both in-network and out-of-network coverage options, with higher levels of coverage for in-network services. If you receive care from an out-of-network provider with a Blue Shield PPO plan, it may result in higher out-of-pocket expenses, including higher deductibles, higher copayments, and/or higher coinsurance. In some cases, the services received from an out-of-network provider may not be covered at all, and you may be responsible for the full cost of the services.
Here are some tips to avoid or minimize out-of-network costs when using your health insurance:
- Choose in-network providers: Whenever possible, choose healthcare providers, including doctors, hospitals, specialists, and other healthcare facilities, that are in-network with your insurance plan. In-network providers have agreed-upon contracts and reimbursement rates with your insurance plan, which typically result in lower out-of-pocket costs for you as the member.
- Verify provider network status: Before scheduling an appointment or receiving medical care, always verify with the healthcare provider directly or through your insurance plan's online directory or customer service whether they are in-network with your specific insurance plan. Provider network status can change over time, so it's important to double-check to ensure you are using in-network providers.
- Understand your insurance plan: Review your insurance plan documents, including the Summary of Benefits and Coverage (SBC) or Evidence of Coverage (EOC), to understand the details of your plan's network coverage, including any potential limitations, exclusions, or additional costs associated with out-of-network care. Be aware of any referral requirements or prior authorization needed for certain services.
- Get pre-authorization if needed: If your insurance plan requires prior authorization for certain services or treatments, make sure to obtain the necessary authorization before receiving care. Failure to obtain pre-authorization when required may result in higher out-of-pocket costs or denial of coverage.
- Consider using telehealth services: Many insurance plans, including Blue Shield of California, offer telehealth services as an in-network benefit. Telehealth services allow you to receive medical care remotely through video or phone consultations with in-network providers, which can help you avoid out-of-network costs and provide convenient access to care.
- Be prepared for emergencies: In case of emergencies, you may receive care from the nearest available provider, regardless of whether they are in-network or out-of-network. However, it's important to contact your insurance plan as soon as possible to notify them of the emergency and seek guidance on how to minimize out-of-pocket costs.
- It's always recommended to check with your specific insurance plan, Blue Shield of California, for their specific guidelines and coverage details regarding in-network and out-of-network care, and to consult with healthcare providers or insurance professionals for any questions or concerns related to your health insurance coverage.
Here are other frequently asked questions about Blue Shield Health Insurance
Here are some frequently asked questions about Blue Shield Health Insurance:
Is Blue Shield Health Insurance reputable?
Blue Shield of California is a nonprofit health plan provider that offers a range of health insurance plans to individuals, families, and businesses throughout California.
What types of health insurance plans does Blue Shield offer?
Blue Shield offers a variety of health insurance plans for individual and families, including HMO, PPO and Medicare Advantage plans. They also offer dental, vision, and life insurance plans.
Can I purchase Blue Shield health insurance on the Affordable Care Act (ACA) marketplace?
Yes, you can purchase Blue Shield health insurance through Covered California, which is the state's ACA marketplace.
What is the cost of Blue Shield health insurance?
The cost of Blue Shield health insurance varies depending on the type of plan you choose, your age, location, and other factors. You can get a personalized quote by visiting the Blue Shield website or by reaching out to us and we can send you a personalized comparison report that will include the rates and plans of other competing carriers!
Does Blue Shield cover pre-existing conditions?
Yes, under the Affordable Care Act, Blue Shield and other health insurance providers are required to cover pre-existing conditions.
Can I change my Blue Shield health insurance plan?
Yes, you can change your Blue Shield health insurance plan during the annual open enrollment period or if you experience a qualifying life event, such as getting married or having a baby.
How do I find a doctor who accepts Blue Shield insurance?
You can search for providers who accept Blue Shield insurance on the Blue Shield website. You can also check with individual providers to see if they accept Blue Shield insurance.
Does Blue Shield offer telemedicine services?
Yes, Blue Shield offers telemedicine services through Teladoc, which allows members to consult with a doctor or therapist remotely.
In network hospitals with Blue Shield of California
Blue Shield of California has a large network of hospitals and healthcare providers across the state of California. The specific hospitals that are considered "in network" will depend on the particular Blue Shield plan you have. To find a list of in-network hospitals, you can log in to your Blue Shield account on their website, or contact their customer service team for assistance.
However, here are some hospitals with Blue Shield of California:
Adventist Health Simi Valley
Downey Medical Center
MarinHealth Medical Center
Providence Saint John's Health Center
Woodland Hills Medical Center
60th Medical Group - Travis Air Force Base
Adventist Health and Rideout
Adventist Health Bakersfield
Adventist Health Delano
Adventist Health Glendale
Adventist Health Hanford
Adventist Health Lodi Memorial
Adventist Health Reedley
Adventist Health Saint Helena
Adventist Health Selma
Adventist Health Sonora
Adventist Health Tulare
Adventist Health Ukiah Valley
Adventist Health Vallejo
Adventist Health White Memorial
AHMC Anaheim Regional Medical Center
AHMC Seton Medical Center
AHMC Seton Medical Center Coastside
Alameda Hospital
Alhambra Hospital Medical Center
Alta Bates Summit Medical Center
Alta Bates Summit Medical Center Herrick Campus
Alta Bates Summit Medical Center Alta Bates Campus
Alvarado Hospital Medical Center
Anaheim Global Medical Center
Anaheim Medical Center
Antelope Valley Hospital
Antioch Medical Center
Arrowhead Regional Medical Center
Arroyo Grande Community Hospital
Bakersfield Heart Hospital
Bakersfield Memorial Hospital
Baldwin Park Medical Center
Barstow Community Hospital
Barton Memorial Hospital
Beverly Hospital
California Hospital Medical Center
California Men's Colony Hospital
Casa Colina Hospital and Centers for Healthcare
Cedars-Sinai Medical Center
Centinela Hospital Medical Center
CHA Hollywood Presbyterian Medical Center
Chapman Global Medical Center
Chinese Hospital
Chino Valley Medical Center
City of Hope Comprehensive Cancer Center
Clovis Community Medical Center
Coast Plaza Hospital
College Hospital Costa Mesa
College Medical Center
Colusa Medical Center
Community Hospital of Huntington Park
Community Hospital of San Bernardino
Community Hospital of the Monterey Peninsula
Community Memorial Hospital
Community Regional Medical Center
Concord Medical Center
Contra Costa Regional Medical Center
Corona Regional Medical Center
CPMC - Van Ness Campus
CPMC Davies Campus
CPMC Mission Bernal Campus
Dameron Hospital
Desert Regional Medical Center
Desert Valley Hospital
Docs Surgical Hospital
Doctors Hospital of Manteca
Doctors Medical Center of Modesto
Dominican Hospital
East Los Angeles Doctors Hospital
Eden Medical Center
Eisenhower Medical Center
El Camino Hospital Los Gatos Campus
El Centro Regional Medical Center
Emanate Health Foothill Presbyterian Hospital
Emanate Health Inter-Community Hospital
Emanate Health Queen of the Valley Hospital
Emanuel Medical Center
Encino Hospital Medical Center
Enloe Medical Center
Fairmont Rehabilitation and Wellness
Fontana Medical Center
Foothill Regional Medical Center
Fountain Valley Regional Hospital
French Hospital Medical Center
Fresno Heart & Surgical Hospital
Fresno Medical Center
Fresno Surgical Hospital
Fresno VA Medical Center
Garden Grove Hospital and Medical Center
Garfield Medical Center
Glendale Memorial Hospital & Health Center
Goleta Valley Cottage Hospital
Good Samaritan Hospital
Good Samaritan Hospital
Greater El Monte Community Hospital
Harbor-UCLA Medical Center
Hemet Global Medical Center
Henry Mayo Newhall Memorial Hospital
Hi-Desert Medical Center
Hoag Hospital Irvine
Hoag Hospital Newport Beach
Hoag Orthopedic Institute
Huntington Beach Hospital
Huntington Health
Jacobs Medical Center at UC San Diego Health
John F. Kennedy Memorial Hospital
Kaweah Health Medical Center
Kern Medical Center
LA Downtown Medical Center Downtown Campus
La Palma Intercommunity Hospital
LAC + USC Medical Center
Laguna Honda Hospital and Rehabilitation Center
Lakewood Regional Medical Center
Loma Linda University Children's Hospital
Loma Linda University Medical Center
Loma Linda University Medical Center - Murrieta
Loma Linda University Medical Center East Campus
Loma Linda University Surgical Hospital
Lompoc Valley Medical Center
Long Beach Medical Center
Los Alamitos Medical Center
Los Angeles Community Hospital
Los Angeles Medical Center
Los Robles Regional Medical Center
Mad River Community Hospital
Manteca Medical Center
Marian Regional Medical Center
Marina Del Rey Hospital
Marshall Medical Center
Martin Luther King, Jr. Community Hospital
Memorial Hospital Los Banos
Memorial Hospital of Gardena
Memorial Medical Center
Menifee Global Medical Center
Mercy General Hospital
Mercy Hospital Downtown Bakersfield
Mercy Hospital of Folsom
Mercy Hospital Southwest
Mercy Medical Center Merced
Mercy Medical Center Redding
Mercy San Juan Medical Center
Methodist Hospital of Sacramento
Mills-Peninsula Medical Center
Mission Community Hospital
Modesto Medical Center
Montclair Hospital Medical Center
Monterey Park Hospital
Moreno Valley Medical Center
Mountain View Campus El Camino Hospital
Natividad Medical Center
Naval Health Clinic Lemoore
Naval Hospital Camp Pendleton
Naval Hospital Twentynine Palms
Naval Medical Center San Diego
NorthBay Medical Center
NorthBay VacaValley Hospital
Northridge Hospital Medical Center
Norwalk Community Hospital
Novato Community Hospital
O'Connor Hospital
Oak Valley Hospital District
Oakland Medical Center
Olive View-UCLA Medical Center
Ontario Medical Center
Orange Coast Memorial Medical Center
Orange County Global Medical Center
Orange County-Irvine Medical Center
Oroville Hospital
Pacifica Hospital of the Valley
Palmdale Regional Medical Center
Palo Alto VA Medical Center
Palo Verde Hospital
Palomar Medical Center Escondido
Palomar Medical Center Poway
Panorama City Medical Center
Paradise Valley Hospital
Parkview Community Hospital Medical Center
Patients Hospital of Redding
Petaluma Valley Hospital
PIH Health Downey Hospital
PIH Health Good Samaritan Hospital
PIH Health Whittier Hospital
Pioneers Memorial Hospital
Placentia-Linda Hospital
Pomona Valley Hospital Medical Center
Porterville Developmental Center
Providence Cedars-Sinai Tarzana Medical Center
Providence Holy Cross Medical Center
Providence Little Company of Mary Medical Center San Pedro
Providence Little Company of Mary Medical Center Torrance
Providence Mission Hospital Laguna Beach
Providence Mission Hospital Mission Viejo
Providence Queen of the Valley Medical Center
Providence Saint Joseph Hospital Orange
Providence Saint Joseph Medical Center
Providence Saint Jude Medical Center
Providence Saint Mary Medical Center
Providence Santa Rosa Memorial Hospital
Providence St. Joseph Hospital Eureka
Rancho Los Amigos National Rehabilitation Center
Rancho Springs Medical Center
Redlands Community Hospital
Redwood City Medical Center
Regional Medical Center of San Jose
Richmond Medical Center
Riverside Community Hospital
Riverside Medical Center
Riverside University Medical Center
Ronald Reagan UCLA Medical Center
Roseville Medical Center
Sacramento Behavioral Healthcare Hospital
Sacramento VA Medical Center
Saddleback Medical Center
Saint Agnes Medical Center
Saint Bernardine Medical Center
Saint Francis Memorial Hospital
Saint John's Regional Medical Center
Saint Joseph Hospital Eureka
Saint Louise Regional Hospital
Saint Mary's Medical Center
Salinas Valley Memorial Healthcare System
San Antonio Regional Hospital
San Diego VA Medical Center
San Dimas Community Hospital
San Francisco VA Medical Center
San Gabriel Valley Medical Center
San Gorgonio Memorial Hospital
San Joaquin General Hospital
San Jose Main Campus
San Leandro Hospital
San Leandro Medical Center
San Mateo Medical Center
San Rafael Medical Center
San Ramon Regional Medical Center
Santa Barbara Cottage Hospital
Santa Clara Medical Center
Santa Clara Valley Medical Center
Santa Paula Hospital
Santa Rosa Hospital
Scripps Green Hospital
Scripps Memorial Hospital Encinitas
Scripps Memorial Hospital La Jolla
Scripps Mercy Hospital Chula Vista
Scripps Mercy Hospital San Diego
Sequoia Hospital
Sharp Chula Vista Medical Center
Sharp Coronado Hospital
Sharp Grossmont Hospital
Sharp Mary Birch Hospital for Women and Newborns
Sharp Memorial Hospital
Shasta Regional Medical Center
Sherman Oaks Hospital
Sierra Nevada Memorial Hospital
Sierra View Medical Center
Sierra Vista Regional Medical Center
Sonoma Valley Hospital
South Bay Medical Center
South Coast Global Medical Center
South Sacramento Medical Center
Southern California Hospital at Culver City
Southern California Hospital at Hollywood
Southwest Hospital Inland Valley Hospital
St Joseph's Medical Center Stockton
St. Elizabeth Community Hospital
St. Francis Medical Center
St. John's Hospital Camarillo
St. Mary Medical Center
St. Rose Hospital
Stanford Health - ValleyCare
Stanford Health Care - ValleyCare
Stanford Hospital
Stanislaus Surgical Hospital
Sutter Amador Hospital
Sutter Auburn Faith Hospital
Sutter Coast Hospital
Sutter Davis Hospital
Sutter Delta Medical Center
Sutter Maternity and Surgery Center of Santa Cruz
Sutter Medical Center
Sutter Roseville Medical Center
Sutter Santa Rosa Regional Hospital
Sutter Solano Medical Center
Sutter Surgical Hospital North Valley
Sutter Tracy Community Hospital
Temecula Valley Hospital
The Keck Hospital of USC
Thousand Oaks Surgical Hospital
Torrance Memorial Medical Center
Tri-City Medical Center
Twin Cities Community Hospital
UC Davis Medical Center
UC San Diego Medical Center
UCI Health
UCLA Mattel Children's Hospital
UCLA Santa Monica Medical Center
UCSF Betty Irene Moore Women's Hospital
UCSF Helen Diller Medical Center at Parnassus Heights
UCSF Medical Center at Mission Bay
USC Arcadia Hospital
USC Norris Comprehensive Cancer Center
USC Verdugo Hills Hospital
VA Loma Linda Healthcare System
VA Long Beach Healthcare System
Vacaville Medical Center
Vallejo Hospital & Medical Offices
Valley Presbyterian Hospital
Ventura County Medical Center
Victor Valley Global Medical Center
Visalia Ambulatory Surgical Center
Walnut Creek Medical Center
Walnut Creek Medical Center
Washington Hospital Healthcare System
Watsonville Community Hospital
Weed Army Community Hospital
West Anaheim Medical Center
West Coast Surgery
West Covina Medical Center
West Hills Hospital & Medical Center
West Los Angeles Medical Center
West Los Angeles VA Medical Center
Whittier Hospital Medical Center
Wilma Chan Highland Hospital
Woodland Memorial Hospital
Please note that this is not an exhaustive list and that in-network hospitals may vary depending on your specific Blue Shield of California plan. It's important to confirm the network status of any hospital or healthcare provider with Blue Shield before receiving care to avoid any unexpected out-of-network costs.
Summary of Benefits - BLUE SHIELD
Blue Shield plans in California
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Enjoy and Share this Blue Shield poem!
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In-network hospitals, doctors renowned,
Ensuring quality care is always found.
Specialists, labs, and pharmacies too,
A comprehensive plan for me and you.
Preventive care to keep us well,
Prescriptions filled, as the stories tell.
Chronic conditions managed with care,
Blue Shield, a partner in our health affair.
With options for families, individuals alike,
Plans tailored to needs, a beacon bright.
Silver, gold, bronze, and more,
Blue Shield, a choice we can explore.
Online tools, a user-friendly way,
To manage claims, appointments, day by day.
Telehealth services, a convenient boon,
Access to care anytime, even the moon!
A Blue Card program, for travel ease,
Coverage on the go, a comforting breeze.
Enhanced silver plans for those in need,
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Blue Shield Dental highlights
Best dental insurance for children with Orthodontics coverage:
($57/month, $2,000 annual coverage, Ortho)
Best dental insurance for dental implants:
Enhanced Dental PPO 50/2000 Lifetime Ortho
(71/month for adults, $2,000 annual coverage, 12 months waiting for major procedures)
- Dental HMO: This plan provides coverage for preventive and basic dental services through a network of participating dentists. It generally has lower monthly premiums and out-of-pocket costs than the Dental PPO plan.
Under age of 26 - $12.5/month
Ages 26+ - $15.5/month
Under age of 26 - $23.7/month
Ages 26+ - $25.9/month
Under age of 19 - $14/month
Ages 19+ - $13.4/month
Specialty DUO (SM) DENTAL + VISION PACKAGE
Under age of 26 - $43.5/month
Ages 26+ - $51.2/month
Quote and Apply Online