Off-Exchange Package for Small Business - HSA/HDHP Plans

Off-Exchange Package for Small Business - HSA/HDHP Plans

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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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.