* For Access+ HMO, Access+ HMO SaveNet and Local Access+ HMO plan members, the medical group or IPA must be an Access+ provider for members to use this benefit. Medical groups and IPAs that participate in the Access+ Specialist program are designated with an “A+” in our online and printed directories and on Blue Shield member ID cards. For Trio HMO plan members, as a Blue Shield of California HMO member, your Blue Shield member ID card will have a “T+” next to your primary care physician’s medical group or Independent Practice Association if it offers the Trio+ Specialist option.