Broker Plan Comparison Tool

footnotes.

1.

Blue Shield and the Shield symbol are registered trademarks of the BlueCross BlueShield Association, an association of independent Blue Cross and Blue Shield plans.

2.

HMO member out-of-state coverage is limited to emergency and urgent care.

3.

Aggregate cost-savings measured from ACO inception (2010) to September 2017. Utilization statistics measured from inception (2010) to September 2017.

4.

Wellvolution® is a registered trademark of Blue Shield of California.

5.

Daily Challenge®, QuitNet®, and Walkadoo® are registered trademarks of the MYH, Inc.

6.

Diabetes Prevention Program is provided by Solera Health, an independent company.

7.

Note Federal tax credits are available through Covered California for small business to those small business employers that qualifies and purchase their coverage on Covered California for Small Business. Talk to Covered California for Small Business (877) 453-9198 to discuss options.

8.

Network numbers as of March 2017.

9.

If a member receives services from a non-participating provider, Blue Shield’s payment may be substantially less than the amount billed. The subscriber is responsible for the difference between the amount Blue Shield pays and the amount billed by the non-participating provider.

10.

Although most consumers who enroll in HDHP are eligible to open an HSA, members should consult with a financial advisor to determine if an HSA/HDHP is a good financial fit for them. Blue Shield does not offer tax advice or HSAs. HSAs are offered through financial institutions. For more information about HSAs, consumers should ask their financial or tax adviser. HSA plan features may vary by institution and may be subject to change by those institutions.

11.

Local Access+ HMO plans cannot be offered alongside Access+ HMO plans

12.

Dental providers in and out of California are available through a contracted dental plan administrator.

13.

Vision providers in and out of California are available through a contracted vision plan administrator.

14.

When employer contribution is 100%, 100% enrollment is required; no waivers are permitted, even for coverage through another employer.

15.

Although Blue Shield is not a financial institution and does not provide tax advice or accounts, clients can select HRA, FSA, and HIA accounts through our integrated platform with HealthEquity.

16.

Active Choice® Plans are underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).

17.

Local Access+ HMO plans cannot be offered alongside other network plans.

18.

Underwritten by Blue Shield of California Life & Health Insurance Company.

19.

The Value Drug Formulary is available for new and existing clients. The Value Drug formulary is not available with Active Choice medical plan.

20.

Available through a contracted vision plan administrator.

21.

Dental providers in and out of California are available through a contracted dental plan administrator.

22.

Available in select states.