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Blue Shield of California Coverage

Blue Shield of California Coverage
Blue Shield of California
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

Blue Shield settles autism therapy dispute
Blue Shield will cover behavioral therapy for autism in accordance with the state's mental heal

Blue Shield of California agrees to cover autism treatment
Blue Shield of California will provide coverage of an expensive autism treatment after reaching an agreement with the state.

HP and Blue Shield of California Sign Five-Year Infrastructure and Applications Services Agreement
PALO ALTO, CA-- - HP Enterprise Services and Blue Shield of California today announced they have signed an agreement designed to enable Blue Shield to deliver new services that enhance efficiencies and ...

Blue Shield agrees to cover autism therapy
The health insurance firm settles an action launched by California regulators and will now pay for applied behavior analysis therapy. A major health insurance company has settled an enforcement action with state regulators over providing special therapy for autism patients.

Insurance news: Sen. Feinstein supports state review of rate increases; Anthem plans in Colo. and Conn. to pay extra ...
Sen. Dianne Feinstein announced she is supporting a ballot measure to give California regulators the power to approve health insurance rates. In other news, Blue Shield in California says it will cover an autism behavioral therapy and Anthem Blue Cross and Blue Shield plans in Colorado and Connecticut announce plans to pay doctors for coordinating care.

Autism treatment dispute settled with Blue Shield
A state regulator has reached an agreement with Blue Shield of California to provide coverage of a pricey type of autism treatment.

Blue Shield of California Urged to Withdraw Rate Hike
Rate Hike Expected to Force More Than 30,000 Californians to Drop Blue Shield Coverage

Kantor & Kantor, LLP Announces District Court Victory: Blue Shield Must Provide Residential Care Benefits for ...
LOS ANGELES, Jan. 19, 2012 /PRNewswire/ -- Kantor & Kantor, LLP announced today that the U.S. District Court for the Central District of California ruled in favor of the firm's client Laura Burton, deciding ...

Hewlett-Packard signs contract with Blue Shield of California
Hewlett-Packard signs contract with Blue Shield of California

Healthcare system woes clearly seen in cataract patient's case
A woman scheduled for surgery finds herself caught in the middle of a contract dispute between Blue Shield and UCLA. Karen Fairbank has cataracts and is scheduled for surgery in March at UCLA's Jules Stein Eye Institute. With her high-deductible Blue Shield of California policy, she was facing about $3,000 in out-of-pocket expenses.

 


 

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