Off-Exchange Package for Small Business - HMO Plans

Off-Exchange Package for Small Business - HMO Plans

 

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)

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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.