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New members have easy access to individual and family plan information all in one convenient location. We hope these changes allow you to complete your online tasks more efficiently.

Once a member logs in, there may be up to four tabs displayed; these tabs are based on a member's plan type:

  • Plan Overview - access plan information for you and your family 

  • Manage Family – manage your entire family profile 

  • Claims – see summary and details of five most recently processed claims  

  • Payment Center – view and pay bills 

Note: Some members may not see the Member Center including: Blue Groove,
individual Medicare, FEP PPO members and members with dental only plans





Plan Overview
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The Plan Overview tab shows health plan information, resources, and links at a glance.  You can quickly access these details within the tab:


1841_MC_QSG_list1Your Member Information 


1841_MC_QSG_list2Plan Information

 
1841_MC_QSG_list3Related Links

 
1841_MC_QSG_list4Additional Members



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Manage Family
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The Manage Family tab allows you to easily view and manage the family members on your plan.

1841_MC_QSG_list1 Member Information 
 Once granted access, view the member’s Physician and Medical
 Group and change or add a Physician or Medical Group. 

1841_MC_QSG_list2 Request Access
 Send a request to access a family member’s plan information and
 claims.

Note: Members under the age of 12 are not required to explicitly grant access to their profile. Profile access will be given to you upon request.

1841_MC_QSG_list3_40pxGrant Access
Submit an authorization for release of your Personal and Health Information to a family member, giving this member access to your plan information and claims. 

1841_MC_QSG_list4_100pxAdd a Member
If you’re not the subscriber, and you want to request or grant access to a spouse or dependent on your plan, click + Add a Family Member. A drop down menu will appear prompting you to choose the member’s birth month and day.  Once you select the date, the member’s name will appear.  Now, click the plus sign (+) to expand the member’s row and request access or grant access.

Note:  If you have completed a Release of Personal and Health Information form and submitted via US Mail, it will also be used for online profile access.


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Payment Center
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The Payment Center shows billing and payment information for your monthly premiums. 

1841_MC_QSG_list1Next Payment Due Date


1841_MC_QSG_list2Payment Amount Due 


1841_MC_QSG_list3Pay My Bill


1841_MC_QSG_list4History of past payments (initiated online or by a Customer Service Representative)

Note: The Payment Center tab displays only for IFP and Med Supp Subscribers with active coverage.

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Claims
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Access your claims, or any family member claims you have been granted access to, through the Claims tab. Click on the plus sign (+) next to the date to access claim details. The page shows the 5 most recent processed claims. You can see a complete history by using Search for Claims or See All Claims.

1841_MC_QSG_list1 Choose Member


1841_MC_QSG_list2 Claim Details (including total patient responsibility)


1841_MC_QSG_list3 More Detail Information


1841_MC_QSG_list4 Search for Claims

 
1841_MC_QSG_list5See All Claims

Note: Details will only be shown for finalized medical claims processed by Blue Shield of California.

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