WELCOME TO THE
CAPE/BLUE SHIELD
POINT OF SERVICE (POS) PLANS
Here are some resources to help you choose the plan that’s right for you.
Take control of your health
Understand how a POS health plan works
Get the predictable out-of-pocket costs of an HMO plan with access to our extensive PPO network. Choose an HMO, PPO, or out-of-network provider for care.
Learn how to manage your out-of-network benefits
Get answers to your questions about seeing providers who are not in your plan’s network, tips for finding in-network options, and steps for submitting claims.
Build a healthier you with Wellvolution
Use our top-rated programs and customized support to lose weight, treat diabetes, lower blood pressure, and more.
Compare your CAPE/Blue Shield plan options
Lite POS plan
In-network out-of-pocket costs:
- HMO Deductible: $0 (individual); $0 (family)
- PPO Deductible: $400 (individual); $800 (family)
- Doctor office visit: $10 (HMO); $25 (PPO)
- Urgent care: $10 (HMO); $25 (PPO)
- Generic drugs: $5/30-day supply
Plan highlights:
- Combines predictable HMO costs with PPO flexibility
- Choose care from HMO, PPO, or out-of-network providers
- Each member must select a primary care physician (PCP)
- $0 copay for virtual care (medical and mental health)
- Acupuncture and chiropractic benefits included
Classic POS plan
In-network out-of-pocket costs:
- HMO Deductible: $0 (individual); $0 (family)
- PPO Deductible: $300 (individual); $600 (family)
- Doctor office visit: $10 (HMO); $20 (PPO)
- Urgent care: $10 (HMO); $20 (PPO)
- Generic drugs: $5/30-day supply
Plan highlights:
- Combines predictable HMO costs with PPO flexibility
- Choose care from HMO, PPO, or out-of-network providers
- Each member must select a primary care physician (PCP)
- $0 copay for virtual care (medical and mental health)
- Acupuncture and chiropractic benefits included
Learn about your pharmacy benefits
Blue Shield pharmacy benefits offer convenience and savings on prescription drugs.
- Access to retail pharmacies, including CVS, Costco, Safeway, Vons, and more
- Up to 30-day supplies at retail pharmacies and 90-day at Amazon Pharmacy
- Specialty drugs available through a Network Specialty Pharmacy
- Price Check My Rx tool to check costs and search for lower prices
- Pharmacy FAQs
Explore programs and services
Get care at home
Access round-the-clock support from experts for personal, family, and work issues.
Receive health advice from registered nurses at any time.
Speak with doctors and mental health professionals by phone or video.
Access care away from home
MinuteClinic (Use your PPO network, Level II, benefits)
Get walk-in health care from registered nurses every day at CVS and Target.
Visit urgent care centers when your doctor is not available, saving you time and money compared to an emergency room visit.
Flu shots and other preventive vaccines provided at network pharmacies.
Jump start your well-being
CredibleMind, your mental health website, offers a wealth of resources such as mental health assessments, peer support groups, articles, videos, podcasts, and more.
Access network fitness centers on a budget you can live with.
View your doctor visits, lab results, prescriptions, and more in one secure place.
Stay up to date on your annual tests, screenings, and immunizations.
Save money on vision exams, fitness club memberships, massage services, and more.
Take advantage of personalized digital programs that support weight loss, mental health, diabetes management, and more.
Manage your condition
Get help from a dedicated healthcare team who can explain treatments and coordinate care for issues like chronic pain or diabetes.
Work virtually with physical therapists and personal trainers to improve mobility, strength, and flexibility. Program targets joint and muscle pain.
Access virtual support from specialists and coaches during your pregnancy and postpartum to help you return to work.
Access the Virta® program to help lower your A1c, lose weight, or stop your diabetes medications. A dedicated medical team will provide support.
LifeReferrals 24/7 is a service mark of Blue Shield of California.
NurseHelp 24/7 is a service mark of Blue Shield of California.
Wellvolution is a registered trademark of Blue Shield of California. Wellvolution and all associated digital and in-person health programs, services, and offerings are managed by Solera, Inc.