HMO plans offer your clients affordable coverage and comprehensive benefits with predictable copayments for office visits. All HMO plans offer clients the freedom to see a specialist without a referral*, and out-of-area coverage for urgent and emergency care through the BlueCard® program. 2024 Summary of Benefits for HMO plans. |
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The PPO plan family features a progression of plans with different medical deductibles and coinsurance amounts, offering clients a choice of different price points to choose from, within the same plan family.
2024 Summary of Benefits for PPO plans.
Full PPO Plans
Preferred Provider Organization (PPO) plans give your clients and their employees the flexibility and simplicity of having direct access to the physicians and specialists in our preferred provider network.
Full PPO Savings Plans
PPO Savings plans are ideal for employees who want to be actively in control of their healthcare expenses by saving tax-advantaged dollars for future medical expenses. These high-deductible health plans (HDHPs)† can be paired with an HSA, HRA, HIA, FSA, LPFSA, or other financial accounts. PPO Savings plans are offered with full network coverage. Each plan includes prescription drug coverage.
Tandem PPO Plans
These plans offer a select network of providers that deliver the same benefits as our Full PPO plans but at a lower cost. Tandem members are matched with a primary care physician to help them navigate their healthcare needs. Like other PPO plans, Tandem offers members the flexibility to see any doctor or specialist without a referral. Learn more and find out why Tandem may be a great choice for your clients with our interactive video.
Tandem PPO Savings Plans
Tandem PPO Savings plans offer a select network of providers that deliver the same benefits as our Full PPO Savings plans but at a lower cost. Tandem PPO Savings plans are ideal for employees who want to be actively in control of their healthcare expenses by saving tax-advantaged dollars for future medical expenses. Tandem offers members the flexibility to see any doctor or specialist without a referral. Learn more by visiting blueshieldca.com/tandem or find out why Tandem may be a great choice for your clients with our interactive video.
Active Choice PPO Plans
Active Choice plans give flexibility and greater management over spending while providing reliable protection against the impact of high-cost services.
Today, employees expect more. Virtual Blue delivers with anytime, anywhere virtual care, $0 virtual visits, and in-person care when they want it—driving value for businesses of all sizes.
A proven collaborative care model
Virtual Blue integrates quality primary, behavioral, and specialty care in one collaborative care model. Members can get virtual care 24/7 from their virtual care team; for in-person care, they can select providers in California and nationwide PPO networks.
2024 Summary of Benefits for Virtual Blue Plans.