Virtual care Partial (P) = The Trio network is available only in parts of this county. California Physicians' Service DBA Blue Shield of California 1999-2023. Blue Shield Access+ EPO. Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances. All rights reserved. Blue Cross and Blue Shield of Louisiana, an independent licensee of the . Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Understandingcopaysanddeductibles (PDF, 34 KB). Use our Find a Doctor tool to determine if your preferred doctors and hospitals are included in our PPO and/or Trio HMO networks. trio-smart is the only three-gas breath test that measures all of the primary fermented gases produced in your gut and illuminates conditions like small intestinal bacterial overgrowth (SIBO), intestinal methanogenic overgrowth (IMO), and excess hydrogen sulfide. The average out-of-pocket cost of all Trio HMO plans for 2021 is lower than the average out-of-pocket cost of all PPO plans. Acupuncture (from an American Specialty Health Plans network acupuncturist), Chiropractic (from an American Specialty Health Plans network chiropractor), Imaging (CT / PET scan, MRI) from an outpatient radiology center, Pediatric Dental Benefits: Restorative Procedures, Pediatric Dental Benefits: Medically Necessary Orthodontics. Choose local doctors, hospitals, and pharmacies that are right for you. All rights reserved. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health plans are offered by Blue Shield of California. P.O.Box 272540 Dont forget dental, vision, and life insurance coverage. P.O. Kaiser Permanente. N/A. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. We are contracted with L.A. Care Health Plan and the Department of Health Care Services. Health plans are offered by Blue Shield of California. Log in to contact us regarding claims, benefits or technical problems. Give yourself a better experience this year. California Physicians Service DBA Blue Shield of California 1999-2022. Find phone and fax numbers for compliance and ethics, disease management, wellness prevention, and more. Login to Provider Connection to start a chat, Blue Shield of California Shield Concierge * Underwritten by Blue Shield Life & Health Company. Health plans are offered by Blue Shield of California. Get primary, urgent, or emergency care statewide, Connect with doctors inside or outside the network, Feel protected with emergency care inside and outside your network, See a specialist without a doctor referral, In-state doctors and hospitals that accept your insurance, Virtual doctor and telehealth appointments, Access to a wellness platform to manage your health, 24/7 access to registered nurses, doctors, and mental health support, Dedicated support line to help you navigate your care (Shield Concierge). Staffed with qualified professionals, these centers are ideal for non-emergency care when your doctor is not available, and can save you time and money. A lot of people are suggesting Kaiser but be wary, I hear their mental health services are really lacking. coverage, Preguntas frecuentes sobre la atencin de la salud, $7,000 per individual / $14,000 per family, Health and Wellness Discounts (gym, weight loss programs, and more), Office Visit - Primary Care (internal medicine, family practice, OB/GYN, pediatrics). Well Baby Care. Here are the details about each plan to help make your decision. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Receive mental health or substance use disorder counseling services through email and live video sessions. c gip , hy gi cho chng ti ti s in thoi ghi trn th hi vin ca qu v hoc 1-866-346-7198. Blue Shield Access+ HMO. All rights reserved. The Trio HMO plan gives you access to a specially selected quality network of local doctors, hospitals, and other providers, all working together to coordinate your care. A Direct Deposit Authorization Form, required because Blue Shield pays commissions through Electronic Funds Transfer (EFT) A W-9 form ; Email or mail the completed forms to: Email: producerserviceappointments@blueshieldca.com Mail: Blue Shield of California P.O. For help, call us at the number listed on your ID card or 1-866-346-7198. The amount you pay each calendar year for most benefits before Blue Shield begins to pay. A confirmation page will appear showing your change. Federal Employee Program customer services: (800) 824-8839, 8:30 a.m. to 4:30 p.m., Monday through Friday. Use ourTrio ZIP code tool. Apply for individual or family medical, dental, and life insurance plans. California Physicians Service DBA Blue Shield of California 1999-2023. 1. Headspace offers over 500 guided meditations to help with anxiety, sleep, and more, as well as yoga workouts, wind-down exercises, and other features. Para obtener ms ayuda, llame al Departamento de Seguros de CA al 1-800-927-4357. Provider Information & Enrollment To search for a PCP by doctor type, select the specialty you want (e.g., Internal Medicine). California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Oakland, CA 94607 information for instate claims, Accessing member eligibility and benefits, claims information, or Clear Claim Connection (C3) claims prescreening simulation tool, Provider network inquiries and applications, Address, phone, fax, and practice changes, EDI set-up inquiries (270/271, 276/277, 278, 837, 835), Member benefit enrollment setup inquiries (820/834). However, seeing a participating provider will usually be more cost-effective. Available for commercial, Shared Advantage, and BlueCard. San Francisco, CA 94120-7168, (800) 676-2583, 6 a.m. to 9 p.m., Monday through Friday. If you see a plan you like, call us at (888) 273-4540. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Your covered dependents can have their own PCPs, and you Blue Shield of California has neither reviewed nor endorsed this information. Good health includes your dental and vision health, too. If youre not sure which plans are available to you, you can contact your benefits manager. Monterey Park, CA 91755, Monday through Friday, 6 a.m. to 6:30 p.m. dial 711 for TTY relay services. Cost depends on the service performed. , , , 1-866-346-7198. Health plans are offered by Blue Shield of California. Trio HMO, Blue Shield Trio Platinum 90 HMO, Blue Shield Trio Gold 80 HMO, Blue Shield Trio Silver 70 HMO, Bronze 7500 Trio HMO, Silver 2600 HDHP PPO, Bronze Full PPO, Bronze Full PPO . You are now leaving the blueshieldca.com website, If you suspect illegal or wrongful billing practices, call our Fraud Hotline, email us, or fill out an online form in our, Please note that we may have to forward your call in order to serve you best. Our interactive videos will teach you more about your Blue Shield HMO and EPO health plan options. call the customer service number on your Blue Shield member ID card. With Trio, you have access to a specially selected network of doctors, hospitals, and specialists who are committed to working together to deliver a better healthcare experience. See the Evidence of Coverage for a complete description of benefits, exclusions, limitations, and conditions of coverage of the plans. You are now leaving the blueshieldca.com website, Not sure if Trio plans are available in your area? Blue Shield of California Provider Services: Blue Shield of California Promise Health Plan Provider Services: Blue Shield of California BlueCard Program, Blue Shield of California Promise Health Plan, Login to Provider Connection to start a chat, Provider information and enrollment - Blue Shield of California network, Provider information and enrollment - Blue Shield of California Promise Health Plan, Credentialing Department - Blue Shield of California, Instate BlueCard Benefits/Eligibility information, Written Correspondence Status on instate claims, Status of payment (check information, paid information, etc.) California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. El Segundo, CA 90245 For all other Provider Services inquiries: 601 Potrero Grande Dr. Learn why trio-smart is the right next step on your path to treatment. If you have any questions about your health plan benefits, call your dedicated Shield Concierge team at (855) 829-3566. While 800-324-4973 is Blue Cross and Blue Shield (NC)'s best toll-free number, there are 2 total ways to get in touch with them. Phone:(510) 607-2000, Blue Shield of California Visit the Medi-Cal site to learn how to apply for coverage. Koj yuav thov tau kom muaj neeg los txhais lus rau koj thiab kom neeg nyeem cov ntawv ua lus Hmoob. To enroll in Trio HMO: 2022-2023 Summary of Benefits and Coverage, Certificated and Management Dual Coverage, Nondiscrimination and Accessibility Requirements & Language Assistance Services, Nondiscrimination and Accessibility Requirements & Language Assistance Services. You and your dependents must live or work in the Trio HMO plan service area to be eligible for coverage. You can get documents read to you and some sent to you in your language. Preventive Care. A fixed amount you pay for benefits such as doctors visits or any wellness services. Welcome San Francisco Health Service System members and thank you for choosing Blue Shield. without a referral. Youll pay a low amount each month for your plan, and pay a high cost share when you get care. For more help all the CA Department of Insurance at 1-800-927-4357. Members, log in to find information specific to your plan or start a Live Chat. Or talk to a Blue Shield CalPERS advisor. Note: The Prudent Buyer Network for CAHP's Basic and Combination . Fitness Your Way offers access to virtual classes, gyms with no long-term contracts, and more. Save money and live healthier with a wide range of wellness discount programs including fitness club memberships; massage therapy; and eye exams, frames, contact lenses, and LASIK surgery. Federal financial help can significantly lower the cost of your coverage. *HMO not available in all areas Box 7168 Contact Us by Phone or Live Chat | Anthem.com Where do you have or need coverage? Blue Shield will also send you an email confirming your new PCP. Partner with a doctor in your local area to coordinate your care at lower costs. You can choose local doctors, hospitals, and pharmacies that are right for you, You have access to Shield Concierge a team of experts and representatives ready to answer your Use ourTrio ZIP code tool. Community Health Advocates can help connect you with local community resources, such as mental health, housing, transportation, and food. You may even qualify to pay $0 per month for a plan. Box 2630 Lodi, CA 95241-2630 The average premium of all Trio HMO plans for 2021 is lower than the average premium of all PPO plans. The Silver 94 Trio HMO plan is a high-value plan offering you the lowest out-of-pocket costs when using covered benefits. Blue Shield of California A single household may have a mix of eligibility with some family members eligible for Medi-Cal coverage and others eligible for subsidies. It offers over 50 apps and programs, including Headspace and Ginger. As a nonprofit health plan, we've been on a mission to ensure access to high-quality, affordable care for Californians since 1939. You may also use our online service, . Even if your insurance plan is on the list below, it may not cover all our services or clinic locations. By using in-network doctors and hospitals, you can keep your costs lower. Health Net SmartCare. Russian, Cc Dch V Tr Gip Ngn Ng Min Ph. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. We work hard to provide our members with the customer service, personalized care and supportive programs they need to effectively manage their health. Operation centers will be closed in observance of Blue Shield of California's. Full (F) = The Trio network is available throughout the full county. Para makakuha ng tulong, tawagan kami sa numerong nakalista sa iyong ID card o sa 1-866-346-7198. Contact us for drug formulary information and to request prior authorization for outpatient prescription drugs and home self-administered injectables. Note: Blue Shield drug formularies apply to outpatient prescription drug benefits . Explore the Trio ACO network. Access to California Pacific Medical Center facilities and hospitals in San Francisco. Enjoy the flexibility to see doctors in a larger network and ability to customize your care. Cov Kev Pab Txhais Lus Tsis Them Nqi. For information or questions, consult a financial or tax advisor. Anthem Blue Cross. You're not just a number As a Trio member, you get personalized support with Shield Concierge, a CalPERS-dedicated team of health advocates, registered nurses, pharmacists, and social workers who can help you find a doctor, coordinate care, transfer prescriptions, understand plan benefits, and much more. Care management program to help you recover from illness and acute conditions, and support overall health improvement. For issues related to the following functions on the Provider Connection website: Phone:(800) 541-6652, 24 hours a day, seven days a week Get the support you need Shield Concierge - Your total healthcare connection Phone: (855) 747-5800 7 a.m. - 7 p.m. Pacific Time Monday through Friday As a Trio HMO member, one call to Shield Concierge connects you to a team of experienced health professionals. If you have any questions about your health plan benefits, call your dedicated Shield Concierge team at (855) 599-2657. Blue Shield of California has neither reviewed nor endorsed this information. Urgent care services outside of your PCP's service area are covered when provided by a Blue Shield participating provider or a non-participating provider. The next best way to talk to their customer support team , according to other Blue Cross Blue Shield customers, is by calling their 800-451-0287 phone number for their Customer Service department. Para obtener ayuda, llmenos al nmero que figura en su tarjeta de identificacin o al 1-866-346-7198. Health plans are offered by Blue Shield of California. There is no coverage for services received from doctors who are outside your PCPs network. Not sure if Trio plans are available in your area? 1-866-518-1767. All rights reserved. , , 1-800-927-4357 . You just have to go with what works for now and hope major issues don't pop . $7,000 per individual / $14,000 per family. Get help to lose weight, be more active, quit smoking, and more. The Trio network extends throughout select California counties. To search for a PCP by doctor name, enter the last name of the doctor you're looking for. Your cost for urgent care services will depend on the type of provider you see: Yes. 100 North Sepulveda Blvd. Welcome to Provider Connection at Blue Shield of California. Members also have the freedom to use non-network providers for most services if they are willing to pay a higher share of the cost. (800) 334-5847 Conquering open enrollment Hospitals: The Trio network(PDF, 88k) includes a list of the hospitals that physicians from the Trio IPAs and medical groups listed above typically refer to. Partial (P) = The Trio network is available only in parts of this county. With Trio, you have an affordable plan option with no deductible - just fixed copays. We're here with resources and support. P.O. The Shield Spectrum Preferred Provider Organization (PPO) plan allows you to: Prescription drug benefits are an important part of your Blue Shield health plan. Calendar year deductible. For more information please visit coveredca.com/medi-cal. Monday through Friday, 6 a.m. to 6:30 p.m. LogintoProviderConnectiontostartachat. or your dependents can change your PCP once per month. GENERAL What is the Trio HMO plan? If you are an Ancillary provider who is interested in joining our network, you can submit a Letter of Interest by the following methods: By mail: Blue Shield of California Promise Health Plan Monterey Park, CA 91755 Celia Gonzalez, of Blue Shield, said that when she called, a live person picked up in "3 to 4 rings". Explore 2023 Blue Shield of California health insurance plans. The Blue Shield Global Core program gives you access to providers in 190 countries. Blue Shield of California Promise Health Plan currently serves Medi-Cal members in Los Angeles and San Diego counties. Blue Shield of California welcomes you. Get to know our Trio network providers All other states Enter XEH for Trio HMO or Access+ HMO and XEA for EPO International providers Enter XEH for Trio HMO or Access+ HMO and XEA for EPO Your doctor may be able to see you for an appointment that day. Howtochoosetherightplanforyou (PDF, 35 KB) If you need prompt medical attention for a non-emergency condition, call your PCP first. and mental health providers by visiting. Or talk to a Blue Shield CalPERS advisor. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. You are now leaving the blueshieldca.com website, Not sure if Trio plans are available in your area? You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! If you have questions or need help, call us at (866) 820-6009 (TTY: 711). You can also go to blueshieldca.com/teamsters1932 for information about the Trio HMO plan.
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Virtual care Partial (P) = The Trio network is available only in parts of this county. California Physicians' Service DBA Blue Shield of California 1999-2023. Blue Shield Access+ EPO. Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances. All rights reserved. Blue Cross and Blue Shield of Louisiana, an independent licensee of the . Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Understandingcopaysanddeductibles (PDF, 34 KB). Use our Find a Doctor tool to determine if your preferred doctors and hospitals are included in our PPO and/or Trio HMO networks. trio-smart is the only three-gas breath test that measures all of the primary fermented gases produced in your gut and illuminates conditions like small intestinal bacterial overgrowth (SIBO), intestinal methanogenic overgrowth (IMO), and excess hydrogen sulfide. The average out-of-pocket cost of all Trio HMO plans for 2021 is lower than the average out-of-pocket cost of all PPO plans. Acupuncture (from an American Specialty Health Plans network acupuncturist), Chiropractic (from an American Specialty Health Plans network chiropractor), Imaging (CT / PET scan, MRI) from an outpatient radiology center, Pediatric Dental Benefits: Restorative Procedures, Pediatric Dental Benefits: Medically Necessary Orthodontics. Choose local doctors, hospitals, and pharmacies that are right for you. All rights reserved. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health plans are offered by Blue Shield of California. P.O.Box 272540 Dont forget dental, vision, and life insurance coverage. P.O. Kaiser Permanente. N/A. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. We are contracted with L.A. Care Health Plan and the Department of Health Care Services. Health plans are offered by Blue Shield of California. Log in to contact us regarding claims, benefits or technical problems. Give yourself a better experience this year. California Physicians Service DBA Blue Shield of California 1999-2022. Find phone and fax numbers for compliance and ethics, disease management, wellness prevention, and more. Login to Provider Connection to start a chat, Blue Shield of California Shield Concierge * Underwritten by Blue Shield Life & Health Company. Health plans are offered by Blue Shield of California. Get primary, urgent, or emergency care statewide, Connect with doctors inside or outside the network, Feel protected with emergency care inside and outside your network, See a specialist without a doctor referral, In-state doctors and hospitals that accept your insurance, Virtual doctor and telehealth appointments, Access to a wellness platform to manage your health, 24/7 access to registered nurses, doctors, and mental health support, Dedicated support line to help you navigate your care (Shield Concierge). Staffed with qualified professionals, these centers are ideal for non-emergency care when your doctor is not available, and can save you time and money. A lot of people are suggesting Kaiser but be wary, I hear their mental health services are really lacking. coverage, Preguntas frecuentes sobre la atencin de la salud, $7,000 per individual / $14,000 per family, Health and Wellness Discounts (gym, weight loss programs, and more), Office Visit - Primary Care (internal medicine, family practice, OB/GYN, pediatrics). Well Baby Care. Here are the details about each plan to help make your decision. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Receive mental health or substance use disorder counseling services through email and live video sessions. c gip , hy gi cho chng ti ti s in thoi ghi trn th hi vin ca qu v hoc 1-866-346-7198. Blue Shield Access+ HMO. All rights reserved. The Trio HMO plan gives you access to a specially selected quality network of local doctors, hospitals, and other providers, all working together to coordinate your care. A Direct Deposit Authorization Form, required because Blue Shield pays commissions through Electronic Funds Transfer (EFT) A W-9 form ; Email or mail the completed forms to: Email: producerserviceappointments@blueshieldca.com Mail: Blue Shield of California P.O. For help, call us at the number listed on your ID card or 1-866-346-7198. The amount you pay each calendar year for most benefits before Blue Shield begins to pay. A confirmation page will appear showing your change. Federal Employee Program customer services: (800) 824-8839, 8:30 a.m. to 4:30 p.m., Monday through Friday. Use ourTrio ZIP code tool. Apply for individual or family medical, dental, and life insurance plans. California Physicians Service DBA Blue Shield of California 1999-2023. 1. Headspace offers over 500 guided meditations to help with anxiety, sleep, and more, as well as yoga workouts, wind-down exercises, and other features. Para obtener ms ayuda, llame al Departamento de Seguros de CA al 1-800-927-4357. Provider Information & Enrollment To search for a PCP by doctor type, select the specialty you want (e.g., Internal Medicine). California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Oakland, CA 94607 information for instate claims, Accessing member eligibility and benefits, claims information, or Clear Claim Connection (C3) claims prescreening simulation tool, Provider network inquiries and applications, Address, phone, fax, and practice changes, EDI set-up inquiries (270/271, 276/277, 278, 837, 835), Member benefit enrollment setup inquiries (820/834). However, seeing a participating provider will usually be more cost-effective. Available for commercial, Shared Advantage, and BlueCard. San Francisco, CA 94120-7168, (800) 676-2583, 6 a.m. to 9 p.m., Monday through Friday. If you see a plan you like, call us at (888) 273-4540. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Your covered dependents can have their own PCPs, and you Blue Shield of California has neither reviewed nor endorsed this information. Good health includes your dental and vision health, too. If youre not sure which plans are available to you, you can contact your benefits manager. Monterey Park, CA 91755, Monday through Friday, 6 a.m. to 6:30 p.m. dial 711 for TTY relay services. Cost depends on the service performed. , , , 1-866-346-7198. Health plans are offered by Blue Shield of California. Trio HMO, Blue Shield Trio Platinum 90 HMO, Blue Shield Trio Gold 80 HMO, Blue Shield Trio Silver 70 HMO, Bronze 7500 Trio HMO, Silver 2600 HDHP PPO, Bronze Full PPO, Bronze Full PPO . You are now leaving the blueshieldca.com website, If you suspect illegal or wrongful billing practices, call our Fraud Hotline, email us, or fill out an online form in our, Please note that we may have to forward your call in order to serve you best. Our interactive videos will teach you more about your Blue Shield HMO and EPO health plan options. call the customer service number on your Blue Shield member ID card. With Trio, you have access to a specially selected network of doctors, hospitals, and specialists who are committed to working together to deliver a better healthcare experience. See the Evidence of Coverage for a complete description of benefits, exclusions, limitations, and conditions of coverage of the plans. You are now leaving the blueshieldca.com website, Not sure if Trio plans are available in your area? Blue Shield of California Provider Services: Blue Shield of California Promise Health Plan Provider Services: Blue Shield of California BlueCard Program, Blue Shield of California Promise Health Plan, Login to Provider Connection to start a chat, Provider information and enrollment - Blue Shield of California network, Provider information and enrollment - Blue Shield of California Promise Health Plan, Credentialing Department - Blue Shield of California, Instate BlueCard Benefits/Eligibility information, Written Correspondence Status on instate claims, Status of payment (check information, paid information, etc.) California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. El Segundo, CA 90245 For all other Provider Services inquiries: 601 Potrero Grande Dr. Learn why trio-smart is the right next step on your path to treatment. If you have any questions about your health plan benefits, call your dedicated Shield Concierge team at (855) 829-3566. While 800-324-4973 is Blue Cross and Blue Shield (NC)'s best toll-free number, there are 2 total ways to get in touch with them. Phone:(510) 607-2000, Blue Shield of California Visit the Medi-Cal site to learn how to apply for coverage. Koj yuav thov tau kom muaj neeg los txhais lus rau koj thiab kom neeg nyeem cov ntawv ua lus Hmoob. To enroll in Trio HMO: 2022-2023 Summary of Benefits and Coverage, Certificated and Management Dual Coverage, Nondiscrimination and Accessibility Requirements & Language Assistance Services, Nondiscrimination and Accessibility Requirements & Language Assistance Services. You and your dependents must live or work in the Trio HMO plan service area to be eligible for coverage. You can get documents read to you and some sent to you in your language. Preventive Care. A fixed amount you pay for benefits such as doctors visits or any wellness services. Welcome San Francisco Health Service System members and thank you for choosing Blue Shield. without a referral. Youll pay a low amount each month for your plan, and pay a high cost share when you get care. For more help all the CA Department of Insurance at 1-800-927-4357. Members, log in to find information specific to your plan or start a Live Chat. Or talk to a Blue Shield CalPERS advisor. Note: The Prudent Buyer Network for CAHP's Basic and Combination . Fitness Your Way offers access to virtual classes, gyms with no long-term contracts, and more. Save money and live healthier with a wide range of wellness discount programs including fitness club memberships; massage therapy; and eye exams, frames, contact lenses, and LASIK surgery. Federal financial help can significantly lower the cost of your coverage. *HMO not available in all areas Box 7168 Contact Us by Phone or Live Chat | Anthem.com Where do you have or need coverage? Blue Shield will also send you an email confirming your new PCP. Partner with a doctor in your local area to coordinate your care at lower costs. You can choose local doctors, hospitals, and pharmacies that are right for you, You have access to Shield Concierge a team of experts and representatives ready to answer your Use ourTrio ZIP code tool. Community Health Advocates can help connect you with local community resources, such as mental health, housing, transportation, and food. You may even qualify to pay $0 per month for a plan. Box 2630 Lodi, CA 95241-2630 The average premium of all Trio HMO plans for 2021 is lower than the average premium of all PPO plans. The Silver 94 Trio HMO plan is a high-value plan offering you the lowest out-of-pocket costs when using covered benefits. Blue Shield of California A single household may have a mix of eligibility with some family members eligible for Medi-Cal coverage and others eligible for subsidies. It offers over 50 apps and programs, including Headspace and Ginger. As a nonprofit health plan, we've been on a mission to ensure access to high-quality, affordable care for Californians since 1939. You may also use our online service, . Even if your insurance plan is on the list below, it may not cover all our services or clinic locations. By using in-network doctors and hospitals, you can keep your costs lower. Health Net SmartCare. Russian, Cc Dch V Tr Gip Ngn Ng Min Ph. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. We work hard to provide our members with the customer service, personalized care and supportive programs they need to effectively manage their health. Operation centers will be closed in observance of Blue Shield of California's. Full (F) = The Trio network is available throughout the full county. Para makakuha ng tulong, tawagan kami sa numerong nakalista sa iyong ID card o sa 1-866-346-7198. Contact us for drug formulary information and to request prior authorization for outpatient prescription drugs and home self-administered injectables. Note: Blue Shield drug formularies apply to outpatient prescription drug benefits . Explore the Trio ACO network. Access to California Pacific Medical Center facilities and hospitals in San Francisco. Enjoy the flexibility to see doctors in a larger network and ability to customize your care. Cov Kev Pab Txhais Lus Tsis Them Nqi. For information or questions, consult a financial or tax advisor. Anthem Blue Cross. You're not just a number As a Trio member, you get personalized support with Shield Concierge, a CalPERS-dedicated team of health advocates, registered nurses, pharmacists, and social workers who can help you find a doctor, coordinate care, transfer prescriptions, understand plan benefits, and much more. Care management program to help you recover from illness and acute conditions, and support overall health improvement. For issues related to the following functions on the Provider Connection website: Phone:(800) 541-6652, 24 hours a day, seven days a week Get the support you need Shield Concierge - Your total healthcare connection Phone: (855) 747-5800 7 a.m. - 7 p.m. Pacific Time Monday through Friday As a Trio HMO member, one call to Shield Concierge connects you to a team of experienced health professionals. If you have any questions about your health plan benefits, call your dedicated Shield Concierge team at (855) 599-2657. Blue Shield of California has neither reviewed nor endorsed this information. Urgent care services outside of your PCP's service area are covered when provided by a Blue Shield participating provider or a non-participating provider. The next best way to talk to their customer support team , according to other Blue Cross Blue Shield customers, is by calling their 800-451-0287 phone number for their Customer Service department. Para obtener ayuda, llmenos al nmero que figura en su tarjeta de identificacin o al 1-866-346-7198. Health plans are offered by Blue Shield of California. There is no coverage for services received from doctors who are outside your PCPs network. Not sure if Trio plans are available in your area? 1-866-518-1767. All rights reserved. , , 1-800-927-4357 . You just have to go with what works for now and hope major issues don't pop . $7,000 per individual / $14,000 per family. Get help to lose weight, be more active, quit smoking, and more. The Trio network extends throughout select California counties. To search for a PCP by doctor name, enter the last name of the doctor you're looking for. Your cost for urgent care services will depend on the type of provider you see: Yes. 100 North Sepulveda Blvd. Welcome to Provider Connection at Blue Shield of California. Members also have the freedom to use non-network providers for most services if they are willing to pay a higher share of the cost. (800) 334-5847 Conquering open enrollment Hospitals: The Trio network(PDF, 88k) includes a list of the hospitals that physicians from the Trio IPAs and medical groups listed above typically refer to. Partial (P) = The Trio network is available only in parts of this county. With Trio, you have an affordable plan option with no deductible - just fixed copays. We're here with resources and support. P.O. The Shield Spectrum Preferred Provider Organization (PPO) plan allows you to: Prescription drug benefits are an important part of your Blue Shield health plan. Calendar year deductible. For more information please visit coveredca.com/medi-cal. Monday through Friday, 6 a.m. to 6:30 p.m. LogintoProviderConnectiontostartachat. or your dependents can change your PCP once per month. GENERAL What is the Trio HMO plan? If you are an Ancillary provider who is interested in joining our network, you can submit a Letter of Interest by the following methods: By mail: Blue Shield of California Promise Health Plan Monterey Park, CA 91755 Celia Gonzalez, of Blue Shield, said that when she called, a live person picked up in "3 to 4 rings". Explore 2023 Blue Shield of California health insurance plans. The Blue Shield Global Core program gives you access to providers in 190 countries. Blue Shield of California Promise Health Plan currently serves Medi-Cal members in Los Angeles and San Diego counties. Blue Shield of California welcomes you. Get to know our Trio network providers All other states Enter XEH for Trio HMO or Access+ HMO and XEA for EPO International providers Enter XEH for Trio HMO or Access+ HMO and XEA for EPO Your doctor may be able to see you for an appointment that day. Howtochoosetherightplanforyou (PDF, 35 KB) If you need prompt medical attention for a non-emergency condition, call your PCP first. and mental health providers by visiting. Or talk to a Blue Shield CalPERS advisor. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. You are now leaving the blueshieldca.com website, Not sure if Trio plans are available in your area? You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! If you have questions or need help, call us at (866) 820-6009 (TTY: 711). You can also go to blueshieldca.com/teamsters1932 for information about the Trio HMO plan. 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