Point of Service Plans

Point of Service Plans

Added Advantage POSSM plans Summary of Benefits Optional Benefits Disclosures
Added Advantage POSSM 
300-100/90/70

English (PDF,48KB) 
Spanish (PDF, 47KB)

 

Chiropractic (PDF, 48KB)
Chiropractic and Acupuncture (PDF, 104KB) 
Hearing aid (PDF, 104KB) 
Infertility 50% (PDF, 104KB)
Infertility 80% (PDF, 104KB)
Infertility 95% (PDF, 104KB)

Spanish
Chiropractic (PDF, 104KB)
Chiropractic and acupuncture  (PDF, 104KB)
Hearing aid (PDF, 104KB) 
Infertility 50% (PDF, 104KB)
Infertility 80% (PDF, 104KB)
Infertility 95% (PDF, 104KB)

 

With Basic Rx Prescription Drug  Coverage
With Enhanced or Premier Rx  Prescription Drug Coverage

 

 

Spanish
With Basic Rx Prescription Drug Coverage
With Enhanced or Premier Rx Prescription Drug Coverage
 


 

 

Added Advantage POSSM 
500-100/80/60

English (PDF, 48KB)Spanish (PDF, 47KB)  

Chiropractic (PDF, 48KB)
Chiropractic and Acupuncture (PDF, 104KB) 
Hearing aid (PDF, 104KB) 
Infertility 50% (PDF, 104KB)
Infertility 80% (PDF, 104KB)
Infertility 95% (PDF, 104KB)

Spanish
Chiropractic (PDF, 104KB)
Chiropractic and acupuncture  (PDF, 104KB)
Hearing aid (PDF, 104KB) 
Infertility 50% (PDF, 104KB)
Infertility 80% (PDF, 104KB)
Infertility 95% (PDF, 104KB)

With Basic Rx Prescription Drug  Coverage
With Enhanced or Premier Rx  Prescription Drug Coverage

 

 

 

Spanish
With Basic Rx Prescription Drug Coverage
With Enhanced or Premier Rx Prescription Drug Coverage
 

 

 

 

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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.