WELCOME
SFHSS MEMBERS
Here are some resources to help you choose the plan that’s right for you.
Open enrollment is from October 1 to 23.
Need help selecting a plan?
Learn how each plan works in these 30-second videos.
Compare your Blue Shield plan options
Access+ HMO plan
In-network out-of-pocket costs (effective 1/1/27):
- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit: $25
- Specialist office visit: $25
- Urgent care visit: $25
Plan highlights:
- Access to providers in our full HMO network
- Predictable costs—fixed copayments for most services
- $0 copay for virtual care (medical and mental health)
- Each member must select a primary care physician (PCP)
- Retail and mail-order prescription drugs
Trio HMO plan
In-network out-of-pocket costs (effective 1/1/27):
- Deductible (individual): $0
- Deductible (family): $0
- Primary care office visit: $25
- Specialist office visit: $25
- Urgent care visit: $25
Plan highlights:
- Access to Trio HMO network providers only
- You must live in the Trio HMO service area
- $0 copay for virtual care (medical and mental health)
- Members must select a PCP (in-person or virtual-only)
- Retail and mail-order prescription drugs
PPO plan
In-network out-of-pocket costs (effective 1/1/27):
- Deductible (individual): $250
- Deductible (family): $750
- Primary care office visit: 15%
- Specialist office visit: 15%
- Urgent care visit: 15%
Plan highlights:
- Available to employees located in the USA
- Freedom to visit any doctor—in or out of our PPO network
- Self-refer to specialists—no PCP referral required
- Urgent and emergency care coverage worldwide
- Retail and mail-order prescription drugs
PPO out-of-area plan
In-network out-of-pocket costs (effective 1/1/27):
- Deductible (individual): $250
- Deductible (family): $750
- Primary care office visit: 15%
- Specialist office visit: 15%
- Urgent care visit: 15%
Plan highlights:
- Available to employees located outside the USA
- Freedom to see any doctor—in or out of the plan's PPO network
- Self-refer to specialists—no PCP referral required
- Urgent and emergency care coverage worldwide
- Retail and mail-order prescription drugs
PPO 20 plan
In-network out-of-pocket costs (effective 1/1/27):
- Deductible (individual): $250
- Deductible (family): $750
- Primary care office visit: 80%
- Specialist office visit: 80%
- Urgent care visit: 80%
Plan highlights:
- For Medicare-eligible retirees who do not enroll in Medicare
- Freedom to see any doctor—in or out of our PPO network
- Self-refer to specialists—no PCP referral required
- Urgent and emergency care coverage worldwide
- Retail and mail-order prescription drugs
Find a doctor in the network
Use our virtual assistant to find a provider, including hospitals and pharmacies.
You can also browse providers by plan type:
- Access+ HMO plan
- Trio HMO plan
- PPO plans - inside California
- PPO plans - outside California (use prefix "SFG")
HMO PCP and urgent care information:
- Find a PCP's ID number
- View or change your assigned PCP
You must use an Urgent care center affiliated with your doctor’s medical group or IPA. - Brown and Toland Physicians
- Hill Physicians
- John Muir Health
- Santa Clara County Individual Practices Association
Learn about your pharmacy benefits
Blue Shield pharmacy benefits help you save on prescription drugs.
- Access to retail pharmacies, including CVS, Costco, Safeway, Vons, and more
- No-cost shipping for prescriptions ordered through Amazon Pharmacy
- Up to 90-day supplies at retail pharmacies and Amazon Pharmacy
- Specialty drugs available through a Network Specialty Pharmacy
- Pharmacy FAQs
Contact us
Trio HMO plan
(800) 357-1901
7 a.m. - 7 p.m. PT; M - F
Access+ HMO plan
(800) 357-1901
7 a.m. - 7 p.m. PT; M - F
PPO plan
(888) 499-5532
5 a.m. - 8 p.m. PT; M - F
BSC PPO Out of Area
Chile, Mexico and Nicaragua (916) 738-8280
Other countries (800) 60004141
7 a.m. - 7 p.m. PT; M - F
(800) 357-1901
7 a.m. - 7 p.m. PT; M - F
Access+ HMO plan
(800) 357-1901
7 a.m. - 7 p.m. PT; M - F
PPO plan
(888) 499-5532
5 a.m. - 8 p.m. PT; M - F
BSC PPO Out of Area
Chile, Mexico and Nicaragua (916) 738-8280
Other countries (800) 60004141
7 a.m. - 7 p.m. PT; M - F
Access+ HMO is a registered trademark of Blue Shield of California.