What's new for Small Businesses – Q1 2022

1-100 employees – Effective January 1, 2023

What's new for you

Medical plan updates

This year we have minimal changes and impacts to our plans. We are introducing new plans and expanding our network for Bronze HMO 7000/70.

Off-exchange PPO plans:

  • Impacted plans with cost share changes
    • Silver PPO 2000/60
    • Silver PPO 2350/65
    • Silver PPO 2550/70
    • Bronze PPO 5500/65
    • Bronze PPO 6500/70
    • Bronze PPO 6850/55
    • Bronze PPO 7500/65
    • Gold PPO Savings 1750/15% HDHP Prev RX
    • Silver PPO Savings 23500/25%
    • Silver PPO Savings 2600/35%
    • Blue Shield Silver 70 PPO 2500/55

Off-exchange HMO plans:

  • Network expansion for Bronze HMO 7000/70
    The Bronze HMO 7000/70 is now available on Access+ and local Access+. This plan has rich benefits at a low cost. All professional services are available prior to deductibles. It includes integrated pharmacy deductibles, flat copays, and chiropractic services.
  • Impacted plans with cost share changes
    • Platinum HMO 0/20
    • Gold HMO 0/30
    • Silver HMO 2750/70
    • Bronze Trio HMO 7000/70
    • Blue Shield Trio Silver 70 HMO 2500/55

A list of small business medical plans that changed names for 2023 can be found here.

You can compare benefits of your current plan selection with these new plan options by using our Plan Comparison Tool. We have added new enhancements to help you find the best plan that fits you and your employees. With these enhancements, you’re able to:

  • Compare multiple plans across multiple years to see changes and updates to our plans.
  • Compare premium rates across all of our available plans for 2023.
  • Use the network comparison tool to see current and future providers in our network.

Complete benefits for all of our small business plans can be found on Employer Connection.

For exact terms and conditions of coverage for all 2022 plan offerings, refer to the Evidence of Coverage and the plan contract, or contact your Blue Shield sales representative.

Learn how Trio and Tandem plans are a good solution for your employees

Trio Plan

Trio HMO is Blue Shield’s answer to addressing healthcare affordability. It’s an innovative plan designed with comprehensive, in-demand benefits.

Learn more with this interactive video

Tandem Plan

Blue Shield has collaborated with select providers to create a PPO plan that leverages our existing accountable care organization (ACO) partnerships throughout the state. Even better, Tandem PPO comes with Concierge, our enhanced member service model, at no additional charge.

Learn more with this interactive video

Programs that will benefit you and your employees

Maven Maternity

Comprehensive pregnancy and postpartum support, to manage the expected and the unexpected. This maternity program includes:

  • Continuous care
  • High-risk management
  • Inclusive care
  • Measurable results
  • Referrals and coordination

For more information, contact your BlueShield sales representative.

LifeReferrals 24/7SM

We are providing you and your employees a team of experienced professionals who are ready to assist with a wide range of personal, family, and work issues. Employees with life insurance coverage* are guided to the appropriate resource depending on their needs. Services include:

  • Beneficiary Assistance (Grief Counseling)
  • Support groups
  • Personal counseling
  • Legal assistance
  • Financial coaching
  • Identity theft assistance

For more information, contact your BlueShield sales representative.

Round out your coverage with dental plans, vision plans, and life insurance* plans

This is a great time to help your employees stay happier, healthier, and more productive by offering them specialty coverage. All Blue Shield specialty plans give you the convenience of fully integrated billing and administration.

  • Get a 10% discount on any dental and/or vision coverage premiums, when they are added to your current medical coverage. Learn more.
  • All specialty plans can be purchased with or without a Blue Shield medical package.

Dental, vision*, and life*, simplified

Employees today want a total health package, including dental, vision, and life. And you need affordable coverage with easy administration. Blue Shield simplifies it all.

  • More access to care with large networks
  • More ways to bundle and save
  • One-stop shopping makes it easy

Dental highlights

Dental coverage is the benefit most requested by employees after medical coverage. With access to some of the largest dental provider networks in the country, our dental plans can add value to your benefits package, and help your employees better manage their oral and overall health. Offering access to preventive oral care can help keep employees happier and more productive at work, too.

New rate reductions for a new portfolio of dental plans

  • Starting 10/1/22 many of our dental plans are offered at up to a 17% lower rates. And you can lock in that rate for 2 years.
  • Get a 10% discount on any dental and/or vision coverage premiums, when they are added to your current medical coverage. Learn more.
  • All plans come with a 2-year rate guarantee.
  • All specialty plans can be purchased with or without a Blue Shield medical package.

Dental plans will be withdrawn in 2023

Five DPPO plans and five DINO plans (listed here) will be withdrawn from our Specialty portfolio beginning January 1, 2023, as part of our product transformation and portfolio simplification efforts. We want to make your move to a new plan as easy as possible, so we will be recommending similar coverage for you. Prior to your anniversary date, your group’s renewal information will be available including recommended plan and rates. You will also have the opportunity to choose any of our other available plan options.

Important pharmacy updates

New Continuous Glucose Monitors benefit

Provide your employees with easier access to Continuous Glucose Monitors as we expand coverage to retails pharmacies. Effective 1/1/23, CGMs will be accessible at retails pharmacies through the Blue Shield pharmacy benefit, prior authorization is required. Learn more.

Weight loss drug exclusion removal

Previously only member with morbid obesity could access weight loss drugs. This change will allow for more accessibility. Medical necessity requirements will continue to apply and all drugs for weight loss require prior authorization.

Autopay makes billing easy

Signing up for automatic payments is a great way to save time and effort when it comes to monthly billing. We’ve made it easy for you to sign up for autopay through Employer Connection. As long as there’s zero balance with no payment due, all you need to do is follow these steps to sign up:

  1. After log-in to the portal, hover over the BILLING tab at the top left of the home screen.
  2. In the drop-down menu. select BILLING OPTIONS.
  3. Enter your account information (checking or saving), and click the ADD ACCOUNT button.
  4. Go back to the BILLING tab and from the drop-down menu, and select AUTOPAYMENTS.
  5. Start a new autopayment.
  6. Select your group number from the drop down, then select your payment account from the second drop down. Hit the SAVE button.

Please note: currently, Blue Shield of California does not have a paperless billing option. Therefore, groups enrolled in autopay will still receive a paper statement every month.

 

For assistance, please contact Group Administrative Services by calling (800) 325-5166.


*Underwritten by Blue Shield of California Life & Health Insurance Company.