| Blue Shield Off-Exchange HMO Plans | Summary of Benefits | Disclosures | Optional Benefit |
|---|---|---|---|
| Platinum Access+ HMO® 0/20 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 972KB) Spanish (PDF, 1.7MB) |
| Platinum Local Access+ HMO® 0/20 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Trio HMO 0/20 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Access+ HMO® 0/25 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Local Access+ HMO® 0/25 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Trio HMO 0/25 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Access+ HMO® 0/30 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Local Access+ HMO® 0/30 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Platinum Trio HMO 0/30 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Access+ HMO® 0/30 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Local Access+ HMO® 0/30 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Trio HMO 0/30 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Access+ HMO® 500/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Local Access+ HMO® 500/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Trio HMO 500/35 OffEx | English (PDF, iMB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Access+ HMO® 1000/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Local Access+ HMO® 1000/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Trio HMO 1000/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Access+ HMO® 1500/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Local Access+ HMO® 1500/35 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Gold Trio HMO 1500/35 OffEx | English (PDF, 49KB) Spanish (PDF, 49KB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Silver Access+ HMO® 2350/65 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Silver Local Access+ HMO® 2350/65 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
| Silver Trio HMO 2350/65 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.5MB) |
Infertility English (PDF, 95KB) Spanish (PDF, 1.7MB) |
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.