| 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) |
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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.