Blue Shield Off-Exchange PPO Plans | Summary of Benefits | Disclosures | Optional Benefit |
---|---|---|---|
Platinum Full PPO 0/0 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Tandem PPO 0/0 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Full PPO 0/10 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Tandem PPO 0/10 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Full PPO 250/10 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Tandem PPO 250/10 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Full PPO 250/15 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Platinum Tandem PPO 250/15 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Full PPO 0/25 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Tandem PPO 0/25 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Full PPO 500/30 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Tandem PPO 500/30 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Full PPO 750/30 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Tandem PPO 750/30 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Full PPO 1000/35 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Gold Tandem PPO 1000/35 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Silver Full PPO 2000/60 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Silver Tandem PPO 2000/60 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Silver Full PPO 2350/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Silver Tandem PPO 2350/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Silver Full PPO 2550/70 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.8MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Silver Tandem PPO 2550/70 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Full PPO 5500/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Tandem PPO 5500/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Full PPO 6250/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Tandem PPO 6250/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Full PPO 6500/70 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Tandem PPO 6500/70 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Full PPO 7500/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Tandem PPO 7500/65 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Full PPO 6850/55 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Bronze Tandem PPO 6850/55 OffEx | English (PDF, 1.1MB) Spanish (PDF, 1.9MB) |
English (PDF, 1.1MB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Virtual Blue Plans | Summary of Benefits | Disclosures | Optional Benefit |
---|---|---|---|
Virtual Blue℠ Gold Tandem PPO 1500/45 OffEx | English (PDF, 275KB) Spanish (PDF, 344KB) |
English (PDF, 310KB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Virtual Blue℠ Bronze Tandem PPO 7500/75 OffEx | English (PDF, 288KB) Spanish (PDF, 353KB) |
English (PDF, 310KB) |
Infertility English (PDF, 996.7KB) Spanish (PDF, 1.7MB) |
Contact Us
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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.