Overview from Jeff Smith | Rate changes | Product and network news | Selling Trio HMO | Medical benefit changes | Specialty benefit changes | Client notifications | Sales materials
Our medical plan rates will increase due to several key factors including the repeal of the ACA’s individual mandate tax penalty and rapidly rising costs of drug prices and hospital stays. We’re positioned to continue to provide sustainably affordable health care to more than 800,000 individual and family plan members.
Our Trio HMO plan rates will rise at a slower rate (7.1%) than our PPO plans (10%) on average as these plans were designed to keep premiums down. In fact, the average increase for Trio outperforms the Covered California statewide average rate increase of 8.7%.
Our grandfathered plans will have an average rate increase of 6%.
Trio HMO | Regions 3-10, 12, 15, 17-19 |
PPO | Regions 1, 2, 5,6, 11-14 |
For 2019, we remain the only health plan that offers a PPO plan in every ZIP code across the state for those who prefer the choice and flexibility of a PPO network.
Taking care of your oral and visual health is just as important. We are pleased to announce a significant rate reduction for some of our dental and vision plans for 2019, making specialty coverage even more affordable to fit your clients’ needs. The following plans will receive a rate reduction:
IFP Enhanced Dental HMO $0 | -25% |
IFP Specialty Duo Dental and Vision | -16% |
IFP Ultimate Vision 15/25/120 | -13% |
IFP Ultimate Vision 15/25/150 | -19% |
All of our other specialty plans will receive a rate pass for the third year in a row.
* Price position is a comparison of our standard Silver-level plans and may change depending on age, income, metal level, plan type or other factors. Please consult our comprehensive rate book to see detailed rate information.
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Producer Services (800) 559-5905
Employer Services (800) 325-5166
Blue Shield of California
PO Box 272540
Chico, CA 95927-2540
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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.