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Benefit Modification Brochures

The Benefit Modifications offer a summary of specific benefit changes to your clients' plans in a convenient chart. Keep them up-to-date by downloading and sharing the fliers with your clients upon renewal. Copies will be included along with a complete list of legislative mandates and Blue Shield required changes in each renewal package delivered by your Blue Shield sales representative.

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2024 Legal Plan Name Size
Access+ HMO® Facility Coinsurance 15-20% 717KB
Access+ HMO® Facility Coinsurance 20-20% 716KB
Access+ HMO® Facility Coinsurance 25-25% 716KB
Access+ HMO® Facility Coinsurance 30-30% 716KB
Access+ HMO® Facility Coinsurance 40-40% 717KB
Access+ HMO® Facility Deductible 15-10%/1500 981KB
Access+ HMO® Facility Deductible 15-10%/250 981KB
Access+ HMO® Facility Deductible 15-10%/500 981KB
Access+ HMO® Facility Deductible 15-10%/750 979KB
Access+ HMO® Facility Deductible 20-25%/1500 980KB
Access+ HMO® Facility Deductible 30-10%/1500 980KB
Access+ HMO® Facility Deductible 30-30%/2000 980KB
Access+ HMO® Facility Deductible 40-40%/2000 1MB
Access+ HMO® Per Admit 10-250 1MB
Access+ HMO® Per Admit 20-250 1MB
Access+ HMO® Per Admit 20-500 1MB
Access+ HMO® Per Admit 25-750 1MB
Access+ HMO® Per Admit 40-1000 1MB
Access+ HMO® Per Day 15-500 1MB
Access+ HMO® Per Day 20-250 1MB
Access+ HMO® Per Day 20-500 1MB
Access+ HMO® Per Day 25-750 1MB
Access+ HMO® Per Day 30-500 1MB
Access+ HMO® Zero Admit 10 1MB
Access+ HMO® Zero Admit 15 1MB
Access+ HMO® Zero Admit 20 1MB
Access+ HMO® Zero Admit 30 1MB
Access+ HMO® Zero Facility Deductible 30-20% 1MB
Local Access+ HMO® Facility Coinsurance 15-20% 975KB
Local Access+ HMO® Facility Coinsurance 40-40% 975KB
Local Access+ HMO® Per Admit 25-750 974KB
Local Access+ HMO® Zero Admit 10 1MB
Local Access+ HMO® Zero Admit 20 1MB
Local Access+ HMO® Zero Admit 30 1MB
Local Access+ HMO® Per Admit 10-250 974KB
Local Access+ HMO® Per Admit 20-250 974KB
Local Access+ HMO® Per Admit 20-500 974KB
Local Access+ HMO® Per Admit 40-1000 974KB
Local Access+ HMO® Per Day 20-250 974KB
Local Access+ HMO® Per Day 20-500 974KB
Local Access+ HMO® Per Day 30-500 974KB
Local Access+ HMO® Facility Coinsurance 20-20% 1MB
Local Access+ HMO® Facility Coinsurance 25-25% 974KB
Trio HMO Facility Coinsurance 15-20% 1MB
Trio HMO Facility Coinsurance 20-20% 1MB
Trio HMO Facility Coinsurance 25-25% 1MB
Trio HMO Facility Coinsurance 30-30% 1MB
Trio HMO Facility Coinsurance 40-40% 1MB
Trio HMO Facility Deductible 15-10%/1500 1MB
Trio HMO Facility Deductible 15-10%/250 1MB
Trio HMO Facility Deductible 15-10%/500 1MB
Trio HMO Facility Deductible 15-10%/750 1MB
Trio HMO Facility Deductible 20-25%/1500 1MB
Trio HMO Facility Deductible 30-10%/1500 1MB
Trio HMO Facility Deductible 30-30%/2000 1MB
Trio HMO Facility Deductible 40-40%/2000 1MB
Trio HMO Per Admit 10-250 1MB
Trio HMO Per Admit 20-250 1MB
Trio HMO Per Admit 20-500 1MB
Trio HMO Per Admit 25-750 1MB
Trio HMO Per Admit 40-1000 1MB
Trio HMO Per Day 15-500 997KB
Trio HMO Per Day 15-500 997KB
Trio HMO Per Day 20-500 997KB
Trio HMO Per Day 25-750 998KB
Trio HMO Per Day 20-500 997KB
Trio HMO Zero Admit 10 979KB
Trio HMO Zero Admit 15 979KB
Trio HMO Zero Admit 20 976KB
Trio HMO Zero Admit 30 976KB
Trio HMO Zero Facility Deductible 30-20% 975KB
Full EPO 25-1500 80% 975KB
Full EPO 25-2500 80% 975KB
Full EPO Facility Coinsurance 20-20% 975KB
Full EPO Per Admit 10-250 975KB
Full EPO Zero Admit 20 975KB
Full EPO Zero Admit 30 975KB
Tandem EPO 25-1500 80% 975KB
Tandem EPO 25-2500 80% 975KB
Tandem EPO Facility Coinsurance 20-20% 975KB
Tandem EPO Per Admit 10-250 975KB
Tandem EPO Zero Admit 20 975KB
Tandem EPO Zero Admit 30 975KB
Tandem EPO 20-500 80% 975KB
Tandem EPO 10-250 90% 975KB
Full EPO 20-500 80% 975KB
Full EPO 10-250 90% 975KB
Added Advantage POS℠ 500-100/80/60 975KB
Active Choice® Classic 600 80/50 975KB
Active Choice® Classic 850 70/50 1000 Deductible 975KB
Active Choice® Classic 850 80/60 975KB
Active Choice® Plus 1000 20 80/60 975KB
Active Choice® Plus 1000 80/60 975KB
Active Choice® Plus 300 20 80/60 975KB
Active Choice® Plus 300 80/60 975KB
Full PPO Combined Deductible 0-250 80/60 975KB
Full PPO Combined Deductible 0-250 90/70 975KB
Full PPO Combined Deductible 0-400 90/70 1MB
Full PPO Combined Deductible 10-250 90/70 1MB
Full PPO Combined Deductible 10-500 90/70 1MB
Full PPO Combined Deductible 15-250 90/70 1MB
Full PPO Combined Deductible 20-200 90/70 1MB
Full PPO Combined Deductible 20-250 80/60 1MB
Full PPO Combined Deductible 25-250 80/60 1MB
Full PPO Combined Deductible 25-250 90/60 1MB
Full PPO Combined Deductible 30-500 90/60 1MB
Full PPO Combined Deductible 30-750 80/60 1MB
Full PPO Combined Deductible 35-500 80/60 1MB
Full PPO Combined Deductible Value 10-1000 90/70 1MB
Full PPO Combined Deductible Value 15-1500 80/50 1MB
Full PPO Combined Deductible Value 20-2000 80/50 1MB
Full PPO Combined Deductible Value 25-2500 80/50 975KB
Full PPO Combined Deductible Value 30-3000 80/50 975KB
Full PPO Combined Deductible Value 40-4000 80/50 975KB
Full PPO No Network Deductible 10 100/50 975KB
Full PPO No Network Deductible 20 100/50 975KB
Full PPO Savings Embedded Deductible 3200/5200 975KB
Full PPO Savings Embedded Deductible 3200/6000 975KB
Full PPO Savings Embedded Deductible 3200 100% 975KB
Full PPO Savings Embedded Deductible 3500 975KB
Full PPO Savings Embedded Deductible 4000 1MB
Full PPO Savings Embedded Deductible 4400 100% 1MB
Full PPO Savings Embedded Deductible 5500 1MB
Full PPO Savings Embedded Deductible 6350 100% 1MB
Full PPO Savings Two-Tier Embedded Deductible 1600/3200/3200 90/70 1MB
Full PPO Savings Two-Tier Embedded Deductible 1600/3200/3200 90/60 1MB
Full PPO Savings Two-Tier Embedded Deductible 1600/3200/3200 100% 1MB
Full PPO Savings Two-Tier Embedded Deductible 1600/3200/3200 with $0 HDHP Preventive Drug Benefit 1MB
Full PPO Savings Two-Tier Embedded Deductible 1800/3200/3600 1MB
Full PPO Savings Two-Tier Embedded Deductible 2250/3200/4500 975KB
Full PPO Savings Two-Tier Embedded Deductible 2250/3200/4500 with $0 HDHP Preventive Drug Benefit 975KB
Full PPO Savings Embedded Deductible 5500 with Value Formulary 975KB
Full PPO Savings Two-Tier Embedded Deductible 1600/3200/3200 with Value Formulary 975KB
Tandem PPO Savings Two-Tier Embedded Deductible 1600/3200/3200 90/60 975KB
Full PPO Split Deductible 0-1750 80/60 975KB
Full PPO Split Deductible 0-500 80/60 975KB
Full PPO Split Deductible 10-250 90/70 1MB
Full PPO Split Deductible 15-500 90/60 1MB
Full PPO Split Deductible 20-500 80/60 1MB
Full PPO Split Deductible 25-750 80/60 1MB
Full PPO Split Deductible 30-2000 70/50 1MB
Full PPO Split Deductible 35-1000 80/60 979KB
Full PPO Split Deductible 40-4000 70/50 976KB
Tandem PPO Combined Deductible 0-250 80/60 975KB
Tandem PPO Combined Deductible 0-250 90/70 975KB
Tandem PPO Combined Deductible 0-400 90/70 975KB
Tandem PPO Combined Deductible 10-250 90/70 975KB
Tandem PPO Combined Deductible 15-250 90/70 975KB
Tandem PPO Combined Deductible 20-250 80/60 975KB
Tandem PPO No Network Deductible 10 100/50 975KB
Tandem PPO Savings Embedded Deductible 3200 975KB
Tandem PPO Savings Embedded Deductible 5500 975KB
Tandem PPO Savings Embedded Deductible 3200 100% 975KB
Tandem PPO Savings Embedded Deductible 4425 975KB
Tandem PPO Savings Embedded Deductible 6350 100% 1MB
Tandem PPO Split Deductible 0-1750 80/60 1MB
Tandem PPO Split Deductible 0-500 80/60 975KB
Tandem PPO Split Deductible 10-250 90/70 975KB
Tandem PPO Split Deductible 20-500 80/60 975KB
Tandem PPO Split Deductible 25-750 80/60 975KB
Tandem PPO Split Deductible 35-1000 80/60 975KB
Virtual Blue PPO Split Deductible 50-3000 60/50 975KB
Virtual Blue PPO Split Deductible 50-1000 70/50 975KB
Virtual Blue PPO Combined Deductible 20-250 80/60 975KB
Not Marketed HMO Ben Mods Size
Access+ HMO® SaveNet Per Admit 10-250 975KB
Access+ HMO® SaveNet Facility Coinsurance 15-20% 975KB
Local Access+ HMO® Facility Deductible 15-10%/1500 975KB
Local Access+ HMO® Facility Deductible 20-25%/1500 975KB
Access+ HMO® SaveNet Zero Admit 10 975KB
Access+ HMO® SaveNet Zero Admit 20 975KB
Access+ HMO® SaveNet Zero Admit 30 975KB
Access+ HMO® SaveNet Per Admit 20-500 975KB
Access+ HMO® SaveNet Per Admit 25-750 975KB
Access+ HMO® SaveNet Per Admit 40-1000 975KB
Access+ HMO® SaveNet Facility Coinsurance 20-20% 975KB
Access+ HMO® SaveNet Facility Coinsurance 25-25% 975KB
Access+ HMO® SaveNet Facility Coinsurance 40-40% 975KB
Access+ HMO® SaveNet Facility Deductible 15-10%/1500 975KB
Access+ HMO® SaveNet Facility Deductible 20-25%/1500 975KB
Access+ HMO® SaveNet Facility Deductible 30-30%/2000 975KB
Access+ HMO® SaveNet Facility Deductible 40-40%/2000 975KB
Local Access+ HMO® Facility Deductible 30-30%/2000 974KB
Local Access+ HMO® Facility Deductible 40-40%/2000 974KB
Trio HMO Facility Deductible 40-40%/5800 975KB
Access+ HMO® Facility Deductible 40-40%/5800 975KB
Local Access+ HMO® Facility Deductible 40-40%/5800 975KB
Access+ HMO® SaveNet Facility Deductible 40-40%/5800 975KB
Not Marketed PPO Ben Mods Size
Shield Spectrum PPO℠ 250-90/70 Standard 975KB
Tandem PPO Combined Deductible 20-200 90/70 975KB
Tandem PPO Combined Deductible 25-250 80/60 975KB
Tandem PPO Combined Deductible 25-250 90/60 975KB
Tandem PPO Combined Deductible Value 10-1000 90/70 975KB
Full PPO Combined Deductible Value 50-4500 80/50 975KB
Tandem PPO Split Deductible 30-1500 80/50 975KB
Tandem PPO Split Deductible 40-3000 70/50 975KB
Not Marketed POS Ben Mods Size
Added Advantage POS℠ 300-100/90/70 975KB

Contact Us

  • 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.