| Blue Shield Off-Exchange HSA HDHP Plans | Summary of Benefits | Disclosures | Optional Benefit |
|---|---|---|---|
| Gold Full PPO Savings 1750/15% HDHP PrevRx OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Gold Tandem PPO Savings 1750/15% HDHP PrevRx OffEx | English (PDF, 1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Silver Full PPO Savings 2300/25% OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Silver Tandem PPO Savings 2300/25% OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Silver Full PPO Savings 2600/35% HDHP PrevRx OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Silver Tandem PPO Savings 2600/35% HDHP PrevRx OffEx | English (PDF, 1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Bronze Full PPO Savings 5700/40% OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Bronze Tandem PPO Savings 5700/40% OffEx | English (PDF, 1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Bronze Full PPO Savings 7000 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) Spanish (PDF, 1.7MB) |
| Bronze Tandem PPO Savings 7000 OffEx | English (PDF, 1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.6KB) 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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© California Physicians’ Service DBA Blue Shield of California 1999-. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association.
Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.