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Optional Benefits
Blue Shield offers a broad range of optional benefits -- including chiropractic, chiropractic and acupuncture, infertility treatment and additional inpatient substance abuse treatment  benefits. As part of SB 1424, Blue Shield must also offer the federally legislated Mental Health Treatment and Mental Health and Substance Abuse Treatment benefits.

If your clients have chosen Dual Choice or PlanSelect, they will need to purchase the same optional benefits for all plans in that package.
Chiropractic Benefits
Available only with our Access+ HMO®, Local Access+ HMO® or Added AdvantageSM POS health plans
 
This chiropractic benefit allows members to self-refer to any licensed chiropractor of their choice from the American Specialty Health Plans of California, Inc. (ASHP) network.
 
The benefits cover medically necessary services with the following highlights: 
  • No physician referral required
  • No deductibles or claim forms
  • More than 3,722 credentialed chiropractors statewide
Chiropractic and Acupuncture Benefits
Available only with our Access+ HMO®, Local Access+ HMO® or Added Advantage POS health plansSM
 
We've combined two popular health treatments into one plan. Members can self-refer to any licensed chiropractor or acupuncturist of their choice from the American Specialty Health Plans (ASHP) network.
 
The benefits cover medically necessary services with the following highlights:
 
  • No physician referral required
  • No deductibles or claim form
  • More than 3,722 chiropractors and 1,631 acupuncturists statewide
Infertility Benefits
This optional benefit covers infertility services, which include procedures consistent with established medical practices by licensed physicians and surgeons, such as:
  • Medication
  • Surgery
  • Gamete Intrafallopian Transfer (GIFT)
  • In Vitro Fertilization (IVF), Intracyctoplasmic Sperm Injection (ICSI), and Zygote Intrafallopian Transfer (ZIFT) are excluded
Additional Inpatient Substance Abuse Treatment Benefits
In addition to the benefits already covered in all Blue Shield health plans, you have the option to purchase additional substance abuse treatment benefits for your client's employees who enroll in any of our health plans.
 
Benefit highlights include:
  • Inpatient hospital and professional services for substance abuse treatment 
  • Rehabilitation provided via hospitalization or partial hospitalization/day treatment 
  • Up to a maximum of 30 calendar days of combined inpatient and day treatments per calendar year
Mental Health Treatment and Mental Health & Substance Abuse Treatment Benefits
Groups with 51 or more total number of employees (including part-time or seasonal) must comply with the Federal Mental Health Parity and Addiction Equity Act – HR 1424. The Act went into effect on October 3, 2009 and applies to new and renewing federally defined large groups effective October 15, 2009 and later. To learn more, you can download an overview (PDF, 45KB) from Brent Hitchings.
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Benefit Summaries
Benefit summaries, optional benefits, and plan disclosures
Mental Health Parity
Learn more about the Mental Health Parity and Addiction Equity Act.
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