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Blue Shield of California Health Management Programs

We know that delivering quality care matters as much to you as it does to us. At Blue Shield of California, we are committed to quality care for all our members, which includes partnering with you to support patients in managing their conditions and needs.

Shield Support (care management)

Shield Support is a comprehensive care management program to help members live better with illness, recover from acute conditions, and have a more seamless healthcare experience.

Our team of nurses, behavioral health clinicians, social workers, health coaches, and other specialty clinicians provide personalized coaching, education and support to help members achieve overall health improvement.

Our program includes telephonic coaching, biometric remote home monitoring, online tools, in-person and online workshops, mailed educational materials and home visits based on member need and preference.

Our team supports members with a wide variety of health care needs, including:

  • Behavioral health

  • Cancer

  • Cardiovascular conditions, e.g. Coronary Artery Disease, Heart Failure

  • Catastrophic injury

  • Depression

  • Diabetes

  • LGBTQ health

  • Musculoskeletal conditions

  • Opioid use

  • Pain management

  • Respiratory conditions, e.g. Asthma, COPD

  • Stroke

  • Transplant process

  • Recent ER or hospital visits

Prenatal Program

This program is designed to enhance quality of care and promote healthy behaviors before, during and after pregnancy. Members are offered 24/7 nurse support, a consult with a registered dietitian, a complimentary pregnancy test kit,  educational materials, online resources, the choice of a top-rated pregnancy or parenting book, and personalized nurse care management for those needing extra support.

How to refer members

To refer an individual member to the Shield Support or Prenatal program, download our single referral form (PDF, 57KB). Email the completed form or fax it to (877) 280-0179.

To refer multiple members to the Shield Support or Prenatal program, download our bulk referral form and email it to us.

If you have an urgent referral, please call us at (877) 455-6777.

Resources

Download our health management programs flier (PDF, 382KB)