We know that delivering quality care matters as much to you as it does to us. At Blue Shield of California, we are committed to quality care for all our members, which includes partnering with you to support patients in managing their conditions and needs.

Shield Support (care management)

Shield Support is a comprehensive care management program to help members live better with illness, recover from acute conditions, and have a more seamless healthcare experience.

Our team of nurses, behavioral health clinicians, social workers, health coaches, and other specialty clinicians provide personalized coaching, education and support to help members achieve overall health improvement.

Our program includes telephonic coaching, biometric remote home monitoring, online tools, in-person and online workshops, mailed educational materials and home visits based on member need and preference.

Our team supports members with a wide variety of health care needs, including:

  • Behavioral health
  • Cancer
  • Cardiovascular conditions, e.g. Coronary Artery Disease, Heart Failure
  • Catastrophic injury
  • Depression
  • Diabetes
  • LGBTQ health
  • Musculoskeletal conditions
  • Opioid use
  • Pain management
  • Respiratory conditions, e.g. Asthma, COPD
  • Stroke
  • Transplant process
  • Recent ER or hospital visits

Prenatal program

This program is designed to enhance quality of care and promote healthy behaviors before, during and after pregnancy. Members are offered:

  • 24/7 nurse support
  • a consult with a registered dietitian
  • a complimentary pregnancy test kit
  • educational materials
  • online resources
  • the choice of a top-rated pregnancy or parenting book
  • personalized nurse care management for those needing extra support

How to refer patients

To refer an individual member to the Shield Support or Prenatal program, download our single patient referral form (PDF, 57 KB). Email or fax the completed form to us.

To refer multiple members to the Shield Support or Prenatal program, download our bulk referral form (Excel, 106 KB), complete and email it to us.

 Email:bscliaison@optum.com

Fax: (877) 280-0179