Provider | Blue Shield of CA If your ID card is stolen, please contact Blue Shield’s Fraud department at (800) 221-2367 or send an email to [email protected]. Important: Your Blue Shield ID card is intended for use only by the members enrolled on your plan. If you signed up for your plan through Covered California, call (855) 836-9705. If you signed up directly through Blue Shield, call (888) 256-3650. 2. Register for your account. If you haven’t registered yet, use your member ID number to register for a blueshieldca.com online account. Save time and money when you submit your claims electronically using Electronic Data Interchange (EDI). Learn more and enroll in EDI on our Manage electronic transactions page.. If you still need to submit paper claims, use the Claims Routing Tool to determine the correct mailing address for each member. Because claims mailing addresses are …You are now leaving the blueshieldca.com website. Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information. Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal ... To change any of the following demographic information, fill out this form (PDF, 1.1 MB) and email it to [email protected]. Name; Provider type (practitioner, IPA/medical group, facility, other) PIN; PIN assignment date; Note: This information is essential to our members, and keeping it up-to-date is quick and easy. Please help ... Advanced provider search. Search for providers by multiple criteria such as gender, language, etc. Note: Clear Cache and Cookies before searching. Access+ HMO plan.Blue Shield of California offers flexible and affordable health insurance plans for individuals, families, and Medicare beneficiaries. Access care with you in mind with a wide range of … Overview. Verify eligibility. Member rosters. Guidelines & resources. Claims. Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status. Register or log in to your Blue Shield member account to access online services, such as finding doctors, viewing claims, paying bills, and more. You'll need your Member ID or SSN to get started. Blue Shield Promise is here to help you with the Redetermination process or to reapply for Medi-Cal coverage if you lost coverage. Call us at 855-636-5251 (TTY:711) You can also contact your local County Department of Social Services (DPSS) directly.Plan highlights: Same benefits as those in the Access+ HMO plan. Access to doctors and specialists within the Blue Shield's PPO network. Low, fixed copayments with no coinsurance or deductible. No need to see your primary care physician first - you can go to any specialist within the Blue Shield’s PPO network. Blue Shield of California Promise Health Plan. 63840 Kilroy Airport Way. Long Beach, CA 90806. Member Services toll free at. (800) 605-2556 (TTY: 711) Monday through Friday, 8 a.m. to 6 p.m. Blue Shield of California Promise Health Plan. 3131 Camino Del Rio North, Suite 1300. San Diego, CA 92108. Find a doctor help. We updated our look and added features to make finding providers faster and easier. Find a full listing of doctors, medical groups, vision care providers, specialists, hospitals, pharmacies and urgent care centers in your area. Blue Shield of California Promise Health Plan. 63840 Kilroy Airport Way. Long Beach, CA 90806. Member Services toll free at. (800) 605-2556 (TTY: 711) Monday through Friday, 8 a.m. to 6 p.m. Blue Shield of California Promise Health Plan. 3131 Camino Del Rio North, Suite 1300. San Diego, CA 92108. TriNet Solution Center. If you have any questions, log in to TriNet and click Contact TriNet*. *If you are unable to log in, go to TriNet and select one of the following options: Forgot Password, Forgot ID, Unlock Account, Login Help. Member Services Phone: (800) 894-5565 7 a.m. - 7 p.m. Pacific Time Monday through Friday. California or nationwide. Self-funded or fully insured. HMO or PPO. More or fewer add-ons. No matter what you choose, you can expect healthier outcomes for employees; nimble, responsive account management for employers; and better cost containment for everyone. Large group accounts (101+) Small businesses (1 - 100) Labor & Trust. Register on Blueshieldca.com. Contact Us (855) 747-5800. Shield Concierge - (7am-7pm PST, M-F) Click here to save money with Rx Spectrum pharmacy benefits. Welcome CSEBA members. View plan options Contact us. Shield Concierge Phone: 1(855) 747-5800 7 a.m. – 7 p.m. PST Monday through Friday.Blue Shield Promise is here to help you with the Redetermination process or to reapply for Medi-Cal coverage if you lost coverage. Call us at 855-636-5251 (TTY:711) You can also contact your local County Department of Social Services (DPSS) directly.Phone: (800) 452-4413 (TTY: 711) Hours: 8 a.m. to 8 p.m., seven days a week. Medicare Prescription Drug Plans. Blue Shield Medicare Prescription Drug Plan members with questions about their prescription drug coverage should call: Phone: (888) 239-6469 (TTY: 711) Hours: 8 a.m. to 8 p.m., seven days a week.Effective January 1, 2024. Pregnant or postpartum youth and adults in racial and ethnic groups experiencing disparities in care for maternal morbidity and mortality. For additional information or to refer members to Enhanced Care Management, email [email protected]. Instructions for using the provider portal (including …For troubleshooting help, email [email protected]. * Need help? Chat with a live agent M-F from 8-6pm. Visit the Contact Us page for details. WELCOME TO. BROKER CONNECTION. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of CaliforniaEnhanced Care Management. Enhanced Care Management (ECM) is a Medi-Cal care management benefit. ECM offers extra services to members with complex needs that make it difficult to improve their health. This could include health conditions or challenges such as not having a place to live. Advanced provider search. Search for providers by multiple criteria such as gender, language, etc. Note: Clear Cache and Cookies before searching. Access+ HMO plan. Blue Shield of California Promise Health Plans are for Californians eligible for Medi-Cal (Medicaid in California). We offer plans, comprehensive benefits, and access to a large network of providers across the state.Blue Shield Promise is here to help you with the Redetermination process or to reapply for Medi-Cal coverage if you lost coverage. Call us at 855-636-5251 (TTY:711) You can also contact your local County Department of Social Services (DPSS) directly. Are you a member of Blue Shield of California? Log in to your account to access your health plan benefits, wellness resources, claims, and more. Discover our advantages, including large provider networks, plan flexibility and choice, wellness programs and strong industry leadership. Employer Connection provides information about Blue Shield healthcare plans, account management and administrator resources. The Blue Shield Pharmacy and Therapeutics (P&T) Committee develops and updates the formulary regularly to ensure it meets all Medicare requirements for included and excluded drugs. The Blue Shield P&T Committee includes physicians and clinical pharmacists from our provider and pharmacy networks. Committee voting members are not Blue Shield of ...Choosing the right health coverage option is important. Here you can access and download Summary of Benefits and Coverage (SBC) or Summary of Benefits (SOB) and Evidence of Coverage (EOC) documents for Individual and Family plans, Small Business plans and Mid/large group plans. An SBC or SOB clearly outlines what a plan covers and how much … Blue Shield of California 601 12th Street, Oakland, CA 94607. Blue Shield of California is an HMO, HMO D-SNP, PPO, and PDP plan with a Medicare contract and a contract with the California State Medicaid Program. Enrollment in Blue Shield of California depends on contract renewal. Nondiscrimination notice. The company complies with applicable ... 7 a.m. to 7 p.m. Pacific Time. Monday – Friday. BlueCard Program. Provides you and your eligible family access to covered services, including urgent and emergency care, while you are traveling or working outside of California. (800) 810-BLUE (2583) 24-hours a day, 7 days a week.Blue Shield of California offers a secure online portal for brokers to manage their accounts, access resources, and apply for appointments. Login or register to access Broker Connection and start or renew your health insurance plans.This web page is an interactive and personalized video service for Blue Shield of California members who want to explore the plans and member benefits they will receive as a member. However, the video may not be playing due …Member services requiring prior authorization. Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out ...The Blue Shield Exclusive Provider Organization (EPO) plan is designed solely for CalPERS members who live or work in rural areas where HMO plans are not as prevalent. By utilizing the Blue Shield PPO network members have the freedom and flexibility to access care in rural areas. Low, fixed copayments with no coinsurance or deductible.TriNet Solution Center. If you have any questions, log in to TriNet and click Contact TriNet*. *If you are unable to log in, go to TriNet and select one of the following options: Forgot Password, Forgot ID, Unlock Account, Login Help. Member Services Phone: (800) 894-5565 7 a.m. - 7 p.m. Pacific Time Monday through Friday.Member services requiring prior authorization. Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out ...Advanced provider search. Search for providers by multiple criteria such as gender, language, etc. Note: Clear Cache and Cookies before searching. Access+ HMO plan.Click on the "EOC/SOB" link for the plan listed to view and download the Combined Evidence of Coverage and Summary of Benefits document for that plan. See the uniform glossary for commonly used healthcare terms. For questions about a plan in which you are enrolled, please call (800) 660-3007. 2024 Plan Documents.If you have any questions about applying for dental coverage, you can call (877) 890-7587 to speak with a Blue Shield of California Medicare adviser. Hours of operation are 8 a.m. to 8 p.m. seven days a week, from October 1 through March 31, and 8 a.m. to 8 p.m., weekdays from April 1 through September 30.Register on Blueshieldca.com. Contact Us (855) 747-5800. Shield Concierge - (7am-7pm PST, M-F) Find a provider. Access+ HMO. Find HMO providers within California ...Login to Blueshieldca.com. Register on Blueshieldca.com. Click here for information on Blue Shield's Covid-19 resources. Welcome County of Orange employees & retirees. Contact us. County of Orange Benefits Center (833) 476-2347 8:00 a.m. - 6:00 p.m. Pacific Time Monday through FridayL.A. Care Health Plan and Blue Shield of California Promise Health Plan are here to serve you and your community. The Resource Center is a warm and safe space in your community offering many classes and programs that are free and open to everyone. Our offerings include: Social services assistance (housing, financial literacy, food security) and ...Now’s the time to catch up. Sticking to your child’s immunization schedule is more important than ever. Blue Shield of CA offers private and employer health insurance plans for every budget that include individual and family plans (IFP) …The Blue Shield Exclusive Provider Organization (EPO) plan is designed solely for CalPERS members who live or work in rural areas where HMO plans are not as prevalent. By utilizing the Blue Shield PPO network members have the freedom and flexibility to access care in rural areas. Low, fixed copayments with no coinsurance or deductible.Oct 1, 2023 · No matter where you purchase your Blue Shield dental plan, you’ll enjoy a range of dental benefits including exams, cleanings, and x-rays for $0. And with some of the largest dental networks in California, you can count on the choice you expect. Call 888-273-4546 to talk to a licensed dental expert or to enroll. Apply online. TriNet Solution Center. If you have any questions, log in to TriNet and click Contact TriNet*. *If you are unable to log in, go to TriNet and select one of the following options: Forgot Password, Forgot ID, Unlock Account, Login Help. Member Services Phone: (800) 894-5565 7 a.m. - 7 p.m. Pacific Time Monday through Friday. Blue Shield of California Promise Health Plan. 63840 Kilroy Airport Way. Long Beach, CA 90806. Member Services toll free at. (800) 605-2556 (TTY: 711) Monday through Friday, 8 a.m. to 6 p.m. Blue Shield of California Promise Health Plan. 3131 Camino Del Rio North, Suite 1300. San Diego, CA 92108. 7 a.m. to 7 p.m. Pacific Time. Monday – Friday. BlueCard Program. Provides you and your eligible family access to covered services, including urgent and emergency care, while you are …Understanding non-preventive costs. After your annual preventive exam, you will receive an Explanation of Benefits (EOB) from Blue Shield of California to notify you that your claim has been processed. This document provides you with information about how your claim was paid, including your payment responsibility or reimbursement, if any.Oct 1, 2023 · The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. California or nationwide. Self-funded or fully insured. HMO or PPO. More or fewer add-ons. No matter what you choose, you can expect healthier outcomes for employees; nimble, responsive account management for employers; and better cost containment for everyone. Large group accounts (101+) Small businesses (1 - 100) Labor & Trust. October 01, 2020. OAKLAND, Calif. (October 1, 2020) – Blue Shield of California today announced innovative benefits for 2021 Medicare Advantage plan offerings with expanded …Understanding non-preventive costs. After your annual preventive exam, you will receive an Explanation of Benefits (EOB) from Blue Shield of California to notify you that your claim has been processed. This document provides you with information about how your claim was paid, including your payment responsibility or reimbursement, if any.OAKLAND, Calif. (Oct. 3, 2022) – As the Medicare Annual Election Period approaches, Blue Shield of California encourages Medicare beneficiaries to focus on what matters most to them as they select their health plan for the coming year. “As we emerge from the pandemic, Blue Shield of California has thoughtfully designed its Medicare benefit plans to meet the …Medicare Main Office. Blue Shield of California 6300 Canoga Ave.Woodland Hills, CA 91367 Phone: (818) 598-8000. Blue Shield of California Promise Health Plan. 3840 Kilroy Airport Way Long Beach, CA 90806 Phone: (800) 468-9935. Shared Advantage Customer Service. Contact us with questions about:Click on the "EOC/SOB" link for the plan listed to view and download the Combined Evidence of Coverage and Summary of Benefits document for that plan. See the uniform glossary for commonly used healthcare terms. For questions about a plan in which you are enrolled, please call (800) 660-3007. 2024 Plan Documents.Requirements for participation in the Blue Shield of California network include: If applicable, specialty board certification through a recognized U.S. specialty board, such as the American Board of Medical Specialties (ABMS), or satisfactory completion of a U.S.-based residency in your specialty or area of practice.Dental care. Dental benefits are available to Medi-Cal members who qualify through Denti-Cal provided by the Department of Health Care Services (DHCS). To learn more about Denti-Cal’s coverage please visit their website or call them at (800) 322-6384 (TTY: 711). Get to know your plan to better understand services available to you.Health insurance plans | Blue Shield of CaliforniaFor troubleshooting help, email [email protected]. * Need help? Chat with a live agent M-F from 8-6pm. Visit the Contact Us page for details. WELCOME TO. BROKER CONNECTION. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of CaliforniaTriNet Solution Center. If you have any questions, log in to TriNet and click Contact TriNet*. *If you are unable to log in, go to TriNet and select one of the following options: Forgot Password, Forgot ID, Unlock Account, Login Help. Member Services Phone: (800) 894-5565 7 a.m. - 7 p.m. Pacific Time Monday through Friday.To search for a primary care physician (PCP), click on the Level I (HMO) network above. Then, select "Primary Care Physician." You may need your selected PCP’s ID number when you enroll in the plan for the first time. To find this number, click on your doctor’s name and then select View details under "Primary Care Physician ID." With the ...Register on Blueshieldca.com. Contact Us (855) 747-5800. Shield Concierge - (7am-7pm PST, M-F) Find a provider. Access+ HMO. Find HMO providers within California ...Medical Plans. Discover Blue Shield's range of health benefits to support your Small (1-100) or Mid/Large (101+) company and your employees.Our Be well site provides resources for healthy living, wellness programs, Conditions and Care Programs, pharmacy drug formularies and more.TriNet Solution Center. If you have any questions, log in to TriNet and click Contact TriNet*. *If you are unable to log in, go to TriNet and select one of the following options: Forgot Password, Forgot ID, Unlock Account, Login Help. Member Services Phone: (800) 894-5565 7 a.m. - 7 p.m. Pacific Time Monday through Friday.Provider | Blue Shield of CAMichael Johnson was an executive with Blue Shield of California for 12 years. At one point, he says, he realized the company was evading its duties as a nonprofit, but the CEO dismissed his concerns, so he resigned and began speaking out publicly. Johnson is now a self-styled advocate for nonprofit accountability, and the pending […] …Last Updated: 8/11/2023 Y0118_23_205B_C 05042023 Medi_23_114_LS_IA050423 H0148_22_161_C_IA_092722. Nondiscrimination notice.. The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical …Provider | Blue Shield of CAPrescription drug benefits are an important part of your Blue Shield health plan. Understanding your pharmacy benefits can help you save money. Convenient access to an extensive pharmacy network including Safeway/Vons, Costco and CVS (including CVS Pharmacy® in Target stores). Save ~30% with 90-day refills for covered maintenance … Start your coverage. If your application has been approved, start your coverage by making your payment. Make first payment. Blue Shield of California participates in the health insurance marketplace Covered California. Compare and buy health plans, as well as see if you qualify for tax credits or cost sharing subsides from government programs. Start your coverage. If your application has been approved, start your coverage by making your payment. Make first payment. Blue Shield of California participates in the health insurance marketplace Covered California. Compare and buy health plans, as well as see if you qualify for tax credits or cost sharing subsides from government programs. 2 Blue Shield of California actuarial estimate of extra benefits assuming maximum coverage over the course of 12 months for Blue Shield Medicare Supplement Plan G Extra and Plan G Inspire. 4 Plan G Inspire is available in select Northern California counties. Medicare Supplement plan (also known as Medigap) can help cover the health …Y0118_21_754A_C 09292021. Blue Shield of California has contracted with OTC Health Solutions to provide the over-the-counter (OTC) items benefit offering. Please keep this valuable booklet nearby as you will need it to look up the OTC items you want to order. It also contains step-by-step instructions on how to order online or by phone.Blue Shield Promise is here to help you with the Redetermination process or to reapply for Medi-Cal coverage if you lost coverage. Call us at 855-636-5251 (TTY:711) You can also contact your local County Department of Social Services (DPSS) directly. Our Be well site provides resources for healthy living, wellness programs, Conditions and Care Programs, pharmacy drug formularies and more. You are now leaving the blueshieldca.com website. Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information. Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal ...If you are a member of the media, please call our media hotline at (510)-607-2359 or send us an email. If you are not a member of the media but have a question about Blue …Blue Shield of California offers Medicare Advantage plans in select counties. Medicare Supplement and Medicare Prescription Drug Plans are available statewide. Limitations may apply. Benefits vary by county and plan. Blue Shield of California 601 12th Street, Oakland, CA 94607. Your network providers may offer telehealth and in-office services.Phone. Call (866) 346-7200 (TTY:711) to set up an account. Send your prescription to CVS Caremark. Your doctor can send eligible prescriptions electronically, by phone at (800) 378-5697 or via fax at (800) 378-0323. Call (866) 346-7200 (TTY: 711) to refill your prescriptions. You can also request enrollment in CVS Caremark Mail Service Pharmacy ...Choosing the right health coverage option is important. Here you can access and download Summary of Benefits and Coverage (SBC) or Summary of Benefits (SOB) and Evidence of Coverage (EOC) documents for Individual and Family plans, Small Business plans and Mid/large group plans. An SBC or SOB clearly outlines what a plan covers and how much …If any changes are made to the agreement, it will not be accepted. Fax: (916) 350-8860. Email: [email protected]. Blue Shield of California Attn: Provider Information & Enrollment P.O. Box 629017 El Dorado Hills, CA 95762-9010.At Blue Shield of California, we're eager to create a healthcare system that is worthy of our family and friends and sustainably affordable. To do that, we put our mission and values front and center. Each year, in our annual Mission Report, we look back at what we've done to advance our mission and look forward to our plans for the years to come.4 A 24/7 service that allows members to consult physicians via telephone, video, or app. Phone number is 800-Teladoc (835-2362) [TTY: (855) 636-1578]. 5 AB 457: Regarding your Blue Shield health plan’s access to telehealth services: You may receive services from network providers on an in-person basis or via telehealth, if available. Contact ...
Jun 16, 2023 · L.A. Care Health Plan and Blue Shield of California Promise Health Plan are here to serve you and your community. The Resource Center is a warm and safe space in your community offering many classes and programs that are free and open to everyone. Our offerings include: Social services assistance (housing, financial literacy, food security) and ... . Meundies
Find a location near you. The Centers for Disease Control and Prevention (CDC) recommends getting your flu shot by the end of October. Additionally, doctors recommend that children get a flu vaccine every year, starting at 6 months old. They should get a second flu vaccine before 2 years of age. The updated COVID-19 vaccines are …Blue Shield’s Civica investment is helping lower health costs with quality, affordable generics. Blue Shield of California was one of the leading plans to fund CivicaScript, whose prostate …Blue Shield of California 为每个预算提供健康计划，包括个人和家庭计划 (IFP)、Medicare、Medi-Cal、牙科和视力计划。OAKLAND, Calif. (October 4, 2021) – Blue Shield of California today announced a range of 2022 coverage options for Medicare beneficiaries in California, with expanded benefits for food and transportation services.. Blue Shield is introducing a new Medicare HMO plan, Blue Shield Balance, available to all Medicare beneficiaries in Los Angeles County.Advanced provider search. Search for providers by multiple criteria such as gender, language, etc. Note: Clear Cache and Cookies before searching. Access+ HMO plan.Blue Shield of California members can receive COVID-19 vaccinations, considered a preventive service, at no member cost share and with no provider order. Coverage will be …4 A 24/7 service that allows members to consult physicians via telephone, video, or app. Phone number is 800-Teladoc (835-2362) [TTY: (855) 636-1578]. 5 AB 457: Regarding your Blue Shield health plan’s access to telehealth services: You may receive services from network providers on an in-person basis or via telehealth, if available. Contact ... If you feel you are experiencing an emergency, call 911 immediately or go to the nearest emergency room. Urgent care centers can offer you care at lower out-of-pocket costs for non-emergency conditions and the wait is typically less than an hour* while the average wait time at a California ER is about 4 hours and 34 minutes†. CMS must approve your enrollment into a CalPERS Medicare Advantage plan. If CMS disenrolls or rejects your CalPERS Medicare Advantage plan enrollment, your CalPERS health coverage may be cancelled. If you are ready to enroll in Medicare and Blue Shield of California, Visit here. or myCalPERS, or call 1-888-CALPERS (1-888-225-7377) .Get covered services or urgent and emergency care while traveling in the United States or abroad. HMO, EPO, and Individual and Family Plan PPO members: Coverage for emergency and urgent care services only. If in the United States: Call (800) 810-BLUE or visit provider.bcbs.com. If overseas:Go to your Plan Summary page and download a copy or ask that a copy be mailed to you (not available to all members). Contact your Human Resource department for a copy if you have health care through your employer. Call the Member Services number on your Blue Shield ID card and ask that a copy be mailed to you.Our Be well site provides resources for healthy living, wellness programs, Conditions and Care Programs, pharmacy drug formularies and more. The BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California. BlueCard Program home page. Oct 1, 2023 · The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. If you’re an existing broker or group administrator and have a general question or need technical support with Employer Connection, contact the appropriate customer service number: Small Group Employer Services (1 – 100): (800) 325-5166. Small Group Broker Services (1 – 100): (800) 559-5905. Core Group Employer Services (101 – 2999 ...Blue Shield of California offers flexible and affordable health insurance plans for individuals, families, and Medicare beneficiaries. Access care with you in mind with a wide range of ….