Discover all your care options with a Blue Shield plan

When you have a health question or concern, knowing which care option to choose can help you save time and money. From $0 virtual consults to urgent care, you can choose from a quality network of healthcare providers with coverage from Blue Shield of California or Blue Shield of California Promise Health Care Plan.  

Here’s how to find the most cost-effective care when you need it, where you need it.1

Start here:

Primary doctor

The best place to start when you need care is with your primary care provider, also known as your primary care physician (PCP) or Physician of Choice (POC). This is your main healthcare provider for routine medical needs.

Your primary care provider can treat common medical conditions. They can provide preventive care, annual physicals or wellness visits. They can also provide referrals to a specialist if needed.

Find a primary doctor


Specialists 

From cardiology to gynecology, you have access to a wide range of medical specialists.

Use our Find a doctor tool to find a specialist to help you with your specific healthcare needs.

Find a specialist

Note: PPO members do not need a referral to see a specialist. HMO members should check their Evidence of Coverage or Certificate of Insurance first. 


Mental health care 

Whether you’re feeling stressed or need a specialist, we’re here to help.

Get mental health resources

If you’re in crisis or have suicidal thoughts, seek help right away. Please call 911 or go to the nearest emergency room. You can call, text, or chat with the 988 Suicide & Crisis Lifeline at 988.

Standards for Timely Access to Care

You are entitled to timely access to care. We ask providers to meet these wait time standards.

Telehealth1,6

Telehealth advice and virtual care options let you speak with medical professionals via phone or video. 

Common uses for virtual care include non-emergency conditions. For example, respiratory infections, cold and flu, allergies, and joint pain.

 NurseHelp 24/7℠ or Nurse Advice Line

You can call toll-free or use the online chat to speak with a registered nurse anytime at no extra cost. They can give you advice on how to treat minor illnesses and injuries at home. They can also help you decide if you should see a doctor for treatment.2

Medi-Cal members: Talk to a nurse

All other members: Talk to a nurse

Teladoc3

Board-certified, licensed doctors are available 24/7 in all 50 U.S. states. Speak to doctors by phone or video who can treat non-emergency medical issues and may prescribe medications.

Make an appointment

In-person care

While many people are choosing virtual care options, we understand that sometimes you may need – or prefer – to see a doctor in person.

That’s why we offer access to in-person options beyond your primary provider. These can be used for both simple and more complex needs.  

Urgent care

Walk-in, non-emergency care when your primary care provider is not available. Available to all members.5

Find urgent care

Ambulatory surgery centers (ASCs)

ASCs – also known as outpatient surgery centers – are healthcare facilities that can perform procedures normally done in a hospital setting. These are surgeries that are same-day and do not need an overnight stay. ASCs can be used for a range of procedures. This includes general surgery, urology, neurology, and more.

Find an outpatient center

CVS MinuteClinic1

A CVS MinuteClinic® is a walk-in health care at CVS retail locations. These are for non-emergency conditions and immunizations. This service is available to PPO members only. It has the same cost as an office visit after your deductible has been met.

Find a MinuteClinic

Emergency care:

Emergency room

For serious, life-threatening conditions or disabling conditions or injuries, such as trauma, stroke, or heart attack, always go straight to the emergency room or call 911. This is available to all members.

Find the nearest emergency room

In-home care1

You can get urgent care in the comfort of your own home. Common conditions that can be treated at home include viral infections, flu, and migraines.

Urgent Care at Home1

Members with a PPO plan and all Medi-Cal plan members can get urgent medical care at home for the same out-of-pocket cost as a visit to an in-network urgent care center. Available seven days a week from 8 a.m. to 10 p.m. in Riverside, Orange, Los Angeles, and San Diego counties for members 3-months-old and older.

Get urgent care

 

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Care when traveling

BlueCard® Program and Blue Shield Global Core*

Get covered services or urgent and emergency care while traveling in the United States or abroad.

HMO, EPO, and Individual and Family Plan PPO members:
Coverage for emergency and urgent care services only.

If in the United States:
Call (800) 810-BLUE or visit provider.bcbs.com. 

If overseas: 
Call (804) 673-1177 or visit bcbsglobalcore.com.

1Some of the services listed above may not be covered by your medical plan. For more information and complete details on benefits, covered services, or exclusions, please refer to your Evidence of Coverage (EOC) or Certificate of Insurance (COI) or call the customer care number on your Blue Shield member ID card.

2NurseHelp 24/7 is a service mark of Blue Shield of California. NurseHelp 24/7 is a healthcare advice line. Nurses do not provide medical services for treatment or diagnosis.

3Teladoc does not replace the primary care provider. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA-controlled substances, non-therapeutic drugs, and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services.

4Limitations apply. Refer to your prescription drug coverage for any out-of-pocket costs. If you do not have prescription drug coverage, you are responsible for the cost of the prescription drug.

5If you are a Trio HMO member who needs to visit an urgent care center, you may be required to call your doctor’s office each time you seek care. HMOs may require your doctor’s office to provide authorization before you go to the urgent care center. You must receive care at an urgent care center that is affiliated with your doctor’s medical group or IPA, or your plan may not cover the services received.

6Your network providers may offer telehealth and in-office services. Contact your primary care provider, treating specialist, facility, or other health professional to learn whether telehealth is an option. Network telehealth and in-person services are subject to the same timely access to care standards. If your plan has out-of-network benefits, they are subject to your plan’s cost-sharing obligations and balance billing protections.

Nondiscrimination Notice

The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. La compañía cumple con las leyes de derechos civiles federales y estatales aplicables, y no discrimina, ni excluye ni trata de manera diferente a las personas por su raza, color, país de origen, identificación con determinado grupo étnico, condición médica, información genética, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad, ni discapacidad física ni mental.  本公司遵守適用的州法律和聯邦民權法律,並且不會以種族、膚色、原國籍、族群認同、醫療狀況、遺傳資訊、血統、宗教、性別、婚姻狀況、性別認同、性取向、年齡、精神殘疾或身體殘疾而進行歧視、排斥或區別對待他人。

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© California Physicians’ Service DBA Blue Shield of California 1999-2024. Todos los derechos reservados. California Physicians’ Service DBA Blue Shield of California es un miembro independiente de la Blue Shield Association. Los productos de seguro de salud se ofrecen a través de Blue Shield of California Life & Health Insurance Company. Los planes de salud se ofrecen a través de Blue Shield of California.

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