Blue Shield of California

Breakfast and Learn with St. Joseph Hospital and Blue Shield of California

Mark your calendar for an exclusive breakfast with St. Joseph Hospital and Blue Shield of California leaders. Learn about current issues including provider access and St. Joseph Hospital’s clinical de...

Blue Shield of California Extends Relaxed Participation Requirements

Blue Shield of California is relaxing underwriting participation requirements to June 1 for groups with five or more enrolled employees to just 25% for medical, dental, vision, and life insurance plan...

Blue Shield of California Announces Q2 Rates and More Dental Options

Blue Shield of California is focusing on keeping health care costs as low as possible, which is reflected in their rate actions for Q2 1019: A 1.5% PPO rate increase, for a 3.5% annualized incre...

Blue Shield of California Small Business Market — Some Bronze PPO Off-Exchange Plans Closing To New Sales

The Department of Managed Health Care (DMHC) has required that Blue Shield of California pause actively marketing the plans below for new sales until modifications are made and the benefit changes app...

Blue Shield of California Releases Q2 2019 Rates

Blue Shield of California’s Q2 2019 rates are available to quote. Blue Shield is reporting the following statewide average rate actions for all plans: PPO rates increase 1.5% in the second quar...

Carriers Respond to California Fires

Due to the wildfires in California, Anthem Blue Cross is extending their contract with Enloe Medical Center. Also, Blue Shield of California is reaching out to members to ensure access to care. Ant...

Blue Shield of California Waives the DE 9C for 5+ Groups

Blue Shield of California is waiving the DE 9C requirement for groups with 5 or more enrolling employees with these parameters: Groups must submit the Eligibility/Participation Attestation along...

Blue Shield of California Makes it Easier to Offer Cross-Border Health Care

Effective immediately, Blue Shield of California is allowing a cross-border health plan to be written alongside Blue Shield and another carrier. That includes SIMNSA (Sistemas Medicos Nacionales, S.A....

Blue Shield of California Changes Mirror Plan Commissions

Blue Shield of California is changing their 2019 commissions for off-exchange mirror plans to a level 5%. This change applies to groups with January 1, 2019 effective dates and after. The commissions ...

Pomona Valley Medical Group Now Part of Blue Shield’s 2019 Network

Blue Shield of California now lists Pomona Valley Medical Group as in-network for their Access+ HMO and their Trio HMO for 2019. The Independent Practice Association is comprised of individual private...

Blue Shield Issues Plan Updates and Additions for Q1 2019

Medical Blue Shield is introducing two new medical off-exchange plans to their small business portfolio: • Bronze PPO 6500/50% OffEx available on Full PPO and Tandem PPO networks • Gold HMO 0/30 Of...