Blue Shield of California  

 
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Blue Shield of California Coverage

Blue Shield of California, a division of Anthem, was founded in 1938 and is a non-profit health care provider that serves over 3.2 million members across the state.  They offer health care to meet both the financial and the medical needs of Californians.  With a network of nearly 60,000 physicians, Blue Shield gives Californians the ability to choose the health care they want at a price they can afford.

Blue Shield of California offers two types of plans: HMO plans and PPO plans. HMO plans tend to offer lower prices for medical services such as lower out-of-pocket expenses, no lifetime maximums, lower office visit copays, and lower deductibles.  You get all of this with access to over 8,600 dental care providers.  With Blue Shield PPO plans, members have the freedom to visit any preferred or non-preferred doctors and to visit any network specialist without a referral.  When members use network-sponsored providers, costs are lowered by in-network rates offered by the PPO plans.  You also have the ability to set up the Shield Spectrum PPO Savings Plan that works with a Health Savings Account so that you have more control over your health care dollars.  Run an instant quote for complete plan details and rates in your area.

Rate Information:

Rates vary based upon zip code, age, and effective date.  Please run an instant quote to see available plans and rates in your area.

Network:

Blue Shield of California gives you access to one of the largest networks in California, with thousands of health care providers throughout the state.  Having access to the PPO network can mean substantial discounts in what you pay for your health care, even before you meet your deductible.  The large list of doctors and hospitals can be viewed at their online directory.

Underwriting:

Blue Shield has one of the easiest, most efficient underwriting teams in the industry.  The process is very fast if no medical records are needed.  While it is always a good idea to apply at least three weeks prior to the time you need your new coverage to take effect, some applications that are done online are approved by Blue Shield within 24 hours.  

The company does have the right to accept or decline any individual or family application.  Certain conditions may be waivered with a temporary rider (usually for one to two years), or an indefinite rider.  If you are currently being treated for depression, anxiety, or high cholesterol, please let us know before you apply so we can make sure there are no delays in getting you covered.

Effective dates:

The coverage can go into effect in as quickly as 24 hours, though you risk being declined if claims are submitted before the underwriting process is completed.  You may request an effective date any time the date after you sign the application and 60 days later.  Please note that you will be billed starting on your requested effective date, even if you have not yet been notified that you have been approved.  This is very good for someone who does not have any present coverage and would like for their benefits to begin right away.  For those who are already covered, it is suggested that you maintain your current coverage in force until you have received notice from either eCAHealthinsurance or directly from Blue Shield that your coverage has been approved and is in force.

Your earliest possible effective date will be the day after Blue Shield has received all the necessary documents and information needed to process your application.

How to Apply:

Simply run an instant quote and select the plan you are interested in.  Then select to apply online or download the application, fill it out and fax it in to us.  We will then stay in touch with your during the underwritting process to keep you informed of the progress.

About Blue Shield of California:

With 3.3 million members and $7.5 billion in annual revenue, Blue Shield of California is the state's third largest health plan.  Founded in 1939 and headquartered in San Francisco, Blue Shield is a not-for-profit corporation with approximately 4,500 employees and more than 20 offices throughout California.

Blue Shield of California has been assigned a rating of "A-" (Excellent) from the A.M. Best Company, an independent insurance rating organization.

eCAHealthinsurance is an independent authorized Blue Shield of CAA agent. 


Blue Shield of California in the News

North State Marketplace: Sept. 2, 2011
Blue Shield of California Foundation has awarded Women’s Health Specialists $20,000 to help provide care to uninsured Northern California residents.

Court: Blue Shield must pay for anorexia treatment
SHAYA TAYEFE MOHAJER Associated Press LOS ANGELES An appeals court decision has ordered Blue Shield of California to pay for a policyholder's anorexia treatment, calling on insurers to treat mental illness with the same level of care as physical illness is treated. The 9th U.S. Circuit Court of Appeals on Friday said state law requires the insurer to pay for Jeanene Harlick's nearly 10-month ...

Blue Shield Must Pay for Anorexia Care
An appeals court decision has ordered Blue Shield of California to pay for a policyholder's anorexia treatment, calling on insurers to treat mental illness with the same level of care as physical illness is treated.

Blue Shield gives $50,000 grant to Samuel Dixon clinics
The Samuel Dixon Family Health Centers have received a $50,000 grant from the Blue Shield of California Foundation to help continue its services to uninsured Santa Clarita Valley residents. The grant is part of the foundation's efforts to strengthen the statewide network of community clinics and health centers that aid Californians without health insurance. "Sanuel Dixon Family Health Centers ...

XDx Announces Blue Shield of California Considers AlloMap® Medically Necessary for Monitoring Heart Transplant Rejection
BRISBANE, Calif.--(BUSINESS WIRE)--XDx, Inc., a molecular diagnostics company focused on the development and commercialization of clinically differentiated, high value non-invasive gene expression tests to monitor immune-mediated conditions, today announced that Blue Shield of California considers AlloMap® “medically necessary� for monitoring heart transplant rejection more than one year post ...

Ruling may broaden insurance plans' coverage for mental illness
Judge says Blue Shield must cover woman's anorexia treatment at a residential facility. The Mental Health Parity Act requires insurers to provide equal coverage for severe mental illness and physical ailments. A Northern California woman's treatment for anorexia at a residential facility was medically necessary and must be covered by her healthcare plan, a federal appeals court has ruled in a ...

How Blue Shield, Sabre Holdings & SunPower Use Gaming for Good
SAN FRANCISCO, CA — Sustainability professionals across the board will tell you that engaging employees or consumers is a fickle affair. What may work for one audience may fall flat with another, which is no fun for anyone.

Anorexia Ruling Could Impact Coverage
A U.S. appeals court has ruled that an anorexic woman's insurance company must pay for her treatment at a residential facility because of a California law that requires insurers to provide the same coverage for mental illness as they do for physical illness.

XDx's AlloMap Heart-Rejection Test Racks Up Payor Wins, But Walls Remain
Blue Shield of California will now cover a test made by XDx designed to monitor heart-transplant rejection more than one year post-transplant. With BSC saying the gene-expression-based AlloMap is "medically necessary," most stable heart-transplant recipients on its rolls will no longer have to undergo organ-function biopsies.

Tanning Bed Bill Sizzles on the Governor's Desk
California would be the first state in the country to ban tanning bed usage for anyone under 18 if Governor Brown signs a new bill passed by the State Senate, Friday.

 

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