BlueShield Trio HMO plan

2027 (BlueShield Trio HMO)

• Summary of Benefits – Medical
• Summary of Benefits – Pharmacy
• Summary of Benefits – Acupuncture and chiropractic services
• Summy of Benefits – Hearing aid services
• Summary of Benefits and Coverage

2026 (BlueShield Trio HMO)

• Summary of Benefits – Medical
• Summary of Benefits – Pharmacy
• Summary of Benefits – Acupuncture and chiropractic services
• Summy of Benefits – Hearing aid services
• Summary of Benefits and Coverage
• Evidence of Coverage

BlueShield PPO plan

2027 (BlueShield PPO)

• Summary of Benefits – Medical, acupuncture and chiropractic services
• Summary of Benefits – Pharmacy
• Summary of Benefits and Coverage

2026 (BlueShield PPO)

• Summary of Benefits – Medical, acupuncture and chiropractic services
• Summary of Benefits – Pharmacy
• Summary of Benefits and Coverage
• Evidence of Coverage

BlueShield HDHP PPO plan

2027 (BlueShield HDHP PPO)

• Summary of Benefits – Medical, pharmacy, acupuncture and chiropractic services
• Summary of Benefits and Coverage

2026 (BlueShield HDHP PPO)

• Summary of Benefits – Medical, pharmacy, acupuncture and chiropractic services
• Summary of Benefits and Coverage
• Evidence of Coverage