Overview from Jeff Smith | Rate changes | Product and network news | Selling Trio HMO | Medical benefit changes | Specialty benefit changes | Client notifications | Sales materials
Blue Shield’s IFP plan portfolio for 2019 has a slight number of changes. These changes keep our plans affordable and competitive in the marketplace while still delivering dependable access to care. One of the most notable changes for 2019 is to the non-network inpatient facility daily allowable amount. The daily allowable amount is decreasing from the current maximum of $2,000 per day to a maximum of $500 per day in 2019 for all Blue Shield PPO plans.
Please note: The following medical benefit plan changes do not reflect any network or non-network daily allowable amounts.
Referred to as the Changes Guide, this document highlights the product benefit changes and clarifications specific to a client's plan.
Non-grandfathered Plans (On-exchange, Mirrored, Off-Exchange, and AI-AN | Changes Guide | |
Platinum 90 PPO | Download (PDF, 498KB) | |
Platinum 90 Trio HMO | Download (PDF, 498KB) | |
Gold 80 PPO | Download (PDF, 498KB) | |
Gold 80 Trio HMO | Download (PDF, 498KB) | |
Silver 70 PPO | Download (PDF, 498KB) | |
Silver 70 Trio HMO | Download (PDF, 498KB) | |
Silver 94 PPO | Download (PDF, 498KB) | |
Silver 94 Trio HMO | Download (PDF, 498KB) | |
Silver 87 PPO | Download (PDF, 498KB) | |
Silver 87 Trio HMO | Download (PDF, 498KB) | |
Silver 73 PPO | Download (PDF, 498KB) | |
Silver 73 Trio HMO | Download (PDF, 498KB) | |
Bronze 60 PPO | Download (PDF, 498KB) | |
Bronze 60 HDHP PPO | Download (PDF, 498KB) | |
$0 Cost Share AI-AN PPO | Download (PDF, 498KB) | |
$0 Cost Share AI-AN Trio HMO | Download (PDF, 498KB) | |
Minimum Coverage PPO | Download (PDF, 498KB) |
Mirrored Plans | Changes Guides | |
Platinum 90 PPO | Download (PDF, 498KB) | |
Platinum 90 Trio HMO | Download (PDF, 498KB) | |
Gold 80 PPO | Download (PDF, 498KB) | |
Gold 80 Trio HMO | Download (PDF, 498KB) | |
Silver 70 PPO | Download (PDF, 498KB) | |
Silver 70 Trio HMO | Download (PDF, 498KB) | |
Bronze 60 PPO | Download (PDF, 498KB) | |
Bronze 60 HDHP PPO | Download (PDF, 498KB) | |
Minimum Coverage PPO | Download (PDF, 498KB) |
Off-Exchange Plan | Changes Guides | |
Silver 1850 PPO | Download (PDF, 498KB) |
Each grandfathered plan subscriber will receive an endorsement and a changes guide in their renewal packet to inform them of any updates to their EOC / Policy.
Grandfathered Plan | Endorsement | Changes Guide |
Shield Spectrum PPO Plan 2000-G (DMHC) | Download (PDF, 498KB) | Download (PDF, 498KB) |
Shield Savings 2400/4800-G | Download (PDF, 498KB) | Download (PDF, 498KB) |
Shield Savings 1800-G |
Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) |
Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) |
Active Start Plan 35-G Balance Plan 1000-G Balance Plan 1700-G Balance Plan 2500-G Shield Spectrum PPO Plan 5000-G (with and without CCP) Vital Shield Plus 900 Generic Rx-G |
Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) |
Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) Download (PDF, 498KB) |
Vital Shield 900-G Vital Shield 2900-G |
Download (PDF, 498KB) Download (PDF, 498KB) |
Download (PDF, 498KB) Download (PDF, 498KB) |
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