Local Access+ HMO

Blue Shield's Local Access+ HMO® network plans offer rate savings compared to our full network Access+ HMO plans.1

If you're looking to lower healthcare coverage rates without compromising comprehensive benefits for employees, offer them a Local Access+ HMO plan—a standalone targeted network plan from Blue Shield of California for employer groups with 101+ employees.

With Local access+ HMO your employees can enjoy these benefits and more:

  • Access to local doctors and hospitals employees trust
  • Out-of-state urgent and emergency care through the BlueCard® Program
  • Access to specialists without a referral2
  • Health and wellness programs at no additional cost

Local access provider group lookup

For a complete listing of individual providers, including participating doctors, specialists, dentists, vision care providers, hospitals, and pharmacies please refer to Find a Provider at blueshieldca.com/findaprovider.

Local Access+ HMO plans

  • Local Access+ HMO® Zero Admit 10
  • Local Access+ HMO® Zero Admit 20
  • Local Access+ HMO® Zero Admit 30
  • Local Access+ HMO® Per Admit 10-250
  • Local Access+ HMO® Per Admit 20-500
  • Local Access+ HMO® Per Admit 25-750
  • Local Access+ HMO® Per Admit 40-1000
  • Local Access+ HMO® Facility Coinsurance 15-20%
  • Local Access+ HMO® Facility Coinsurance 20-20%
  • Local Access+ HMO® Facility Coinsurance 25-25%
  • Local Access+ HMO® Facility Coinsurance 40-40%
  • Local Access+ HMO® Facility Deductible 15-10%/1500
  • Local Access+ HMO® Facility Deductible 20-25%/1500
  • Local Access+ HMO® Facility Deductible 30-30%/2000
  • Local Access+ HMO® Facility Deductible 40-40%/2000
  • Local Access+ HMO® Facility Deductible 40-40%/5800

Service area

Employees must live or work within the Local Access+ HMO service area, which includes the following counties, except where noted. Contact your broker or Blue Shield representative for the latest service area.

  • Contra Costa County except for zip codes: 94505, 94514, 94525, 94530, 94564, 94569, 94572, 94801, 94802, 94803, 94804, 94805, 94806, 94807, 94808, 94820 and 94850

  • Kern County except for zip codes: 00016, 93205, 93206, 93220, 93222, 93224, 93225, 93226, 93238, 93240, 93243, 93249, 93251, 93252, 93255, 93268, 93283, 93285, 93287, 93501, 93502, 93504, 93505, 93516, 93518, 93519, 93523, 93524, 93528, 93554, 93555, 93556, 93558, 93560 and 93596

  • Los Angeles County except for ZIP codes: 90704, 93510, 93532, 93535, 93536, 93539, 93543, 93544, 93550, 93551, 93552, 93553, 93584, 93586, 93590, 93591 and 93599

  • Marin County

  • Orange County

  • Riverside County except for zip codes: 92225, 92226, 92239, 92274, 92275 and 92539

  • Sacramento County except for zip codes: 95262, 95632, 95638, 95639, 95641, 95671, 95680, 95683, 95690 and 95693

  • San Bernardino County except for zip codes: 91759, 92242, 92252, 92256, 92267, 92268, 92277, 92278, 92280, 92284, 92285, 92286, 92304, 92305, 92309, 92310, 92314, 92315, 92317, 92321, 92322, 92323, 92325, 92327, 92332, 92333, 92338, 92341, 92342, 92347, 92352, 92356, 92358, 92363, 92364, 92365, 92366, 92368, 92372, 92378, 92382, 92385, 92386, 92391, 92395, 92397, 92398, 92407, 93523, 93562 and 93592

  • San Diego County except for zip codes: 91905, 91906, 91934, 91963, 91980, 91987, 92004, 92036, 92066 and 92086

  • San Francisco County

  • San Luis Obispo County

  • San Mateo County except for zip codes: 94018, 94019, 94020, 94021, 94028, 94037, 94038, 94060 and 94074

  • Santa Clara County

  • Santa Cruz County

  • Sonoma County

  • Santa Barbara County includes: 93454 and 93458 only

  • Ventura County except for zip codes: 00061 and 91362

  • Yolo County

1Savings are in comparison to each Local Access+ HMO plan's comparable Access+ HMO plan.

2The medical group or IPA must be an Access+ provider for members to use this benefit. Medical groups and IPAs that participate in the Access+ SpecialistSM program are designated with an A+ in our online and printed directories and on Blue Shield member ID cards.