HMO Provider Network

New names, same service area

Our Exclusive Network is now called Local Access+ network. The Full HMO network – previously known as Full Network is now called Access+ network.

Blue Shield of California Off Exchange Package for Small Business1
Employers located in certain California counties whose eligible employees live or work in the Local Access HMO service area, have the option of choosing any of the Local Access HMO plans or any of the Access+ HMO plans, but not both.

Blue Shield of California Mirror Package for Small Business2
Employers in the Local Access+ HMO plan service area whose eligible employees live or work in the Local Access HMO service area can purchase HMO plans with the Local Access HMO Network. Employers in the Access+ HMO plan service area whose eligible employees live or work in the Access+ HMO service area can purchase HMO plans with the Access+ HMO Network.

Trio ACO HMO Network
Employers who choose our new Trio ACO HMO plans have access to our Trio ACO HMO network.

Network Plan Options

Blue Shield Off-Exchange Package Plans

Local Access+ Network
Platinum Local Access+ HMO $25 OffEx
Platinum Local Access+ HMO $30 OffEx
Platinum Local Access+ HMO $55 OffEx
Access+ HMO Network
Platinum Access+ HMO $25 OffEx
Platinum Access+ HMO $30 OffEx
Platinum Access+ HMO $55 OffEx
Trio ACO HMO Network
Platinum Trio ACO HMO $24 OffEx
Gold Trio ACO HMO $30 OffEx
Silver Trio HMO $55 Off OffEx

Learn more about these plans
 

Blue Shield Mirror Package Plans

Local Access+ HMO Network
Platinum 90 HMO Network1 Mirror
Gold 80 HMO Network1 Mirror
Silver 70 HMO Network1 Mirror
Access+ HMO Network
Platinum 90 HMO Network2 Mirror
Gold 80 HMO Network22 Mirror
Silver 70 HMO Network2 Mirror

*Note: To purchase this plan an employer must live in an HMO service area, but members can access any PPO provider in the PPO network.

Learn more about these plans
 

It's important to remember
Employers purchasing from the Off-Exchange Package have a choice between an Local Access+ or a Access+ HMO, but not both. Employers purchasing from the Mirror Package can purchase a Local Access+HMO plan if they are located in the Local Access+ Network service area, or can purchase an Access+HMO plan if they are located in the Access+ Network service area.

  1. The Blue Shield of California Off Exchange Package for Small Business has 16 plans, six of which are HMO plans with a choice of the Access+ or Local Access+ HMO network. If you are an employer located in certain California counties whose eligible employees live or work in the Local Access+ HMO service area, you have the option of choosing any of the Local Access+ HMO plans or any of the Acess+ HMO plans, but not both. The Local Access+ HMO plans have the same benefits as our Access+ HMO plans and include a subset of physicians and hospitals from the Access+ network. The service area for the Local Access+ HMO plans is described in the endnotes section for HMO plans. Please review the Benefit Summary Guide (A16609) for detailed information regarding the Local Access+ HMO service area.
  2. The Blue Shield of California Mirror Package for Small Business has 7 plans, 6 of which are HMO plans with a choice of the Access+ or Local Access+ HMO network. If you are an employer located in the Local Access+ Network service area and whose eligible employees live or work in the Local Access+ HMO service area, you can purchase an Local Access+ HMO plan. If you are an employer located in the Full Network service area and whose eligible employees live or work in the Full Network HMO service area, you can purchase a Full HMO plan.
  3. The medical group or IPA must be an Access+ provider for members to use this benefit. Medical groups and IPAs that participate in the Access+ Specialist program are designated with an A+ in our online and printed directories and on Blue Shield member ID cards.

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