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Blue Shield of California

Founded in 1939, Blue Shield of California is California’s third biggest health plan with 3.2 million members and $7.5 billion in annual revenue. Blue Shield has its headquarters in San Francisco and it is a not-for-profit corporation employing nearly 4,300 people and running more than 20 offices throughout California. As a not-for-profit mutual benefit health plan, Blue Shield of California tries to encourage innovation and act as a catalyst for constructive change. An independent member of the Blue Cross and Blue Shield Association, it proposes to guarantee health coverage for all Californians, the first time a major health plan has called for universal coverage. Its mission is to give all Californians access to high-quality health care at a reasonable price. Its annual revenue is about $7.5 billion. Blue Shield was recently awarded an “Excellent” rating by the National Committee for Quality Assurance (NCQA) for its HMO and Point of Service (POS) lines of business. In February 2006, it received financial ratings of ‘A’ (stable) from Standard and Poor, ‘A’ (excellent) from AM Best and ‘A’ (excellent) rating by Weiss Ratings, Inc.
The total number of its members as of January 2006 (including HMO, PPO, TRICARE and others) is 3,300,000.

Blue Shield of California offers several types of health coverage for individuals, families or groups. It also offers dental coverage for Blue Shield individual or family plan members, and life insurance and short-term health plans are available through Blue Shield of California Life & Health Insurance Company (Blue Shield Life).

Blue Shield of California offers both HMO and PPO health plans and dental plans. Each type of plan offers some distinct advantages. With HMO plans, the advantages are lower out-of-pocket expenses, no lifetime maximum, lower office visit co-pays, lower hospital deductibles and virtually no claim forms. Advantages of HMO dental plans include: no waiting periods for most services, access to over 8,600 dental care providers, and no deductibles. PPO health plans are advantageous because of freedom to visit preferred or non-preferred doctors and specialists, the ability to go to any network specialist without a referral, and choice of plans with or without a medical plan deductible, lower out-of-pocket expenses when network providers are used and ability to establish a Health Savings Account with our Shield Spectrum PPO Savings Plan 2400/4800 and 4000/8000.
Among the advantages of PPO dental plans are an extensive network of more than 16,000 general and specialty dentists, deductible of $50 per member per calendar year, a wide range of dental services, including diagnostic and preventive services at no charge, coverage even when you use an out-of-network dentist and no waiting period for diagnostic or preventive services.

It offers six Medicare Supplement Plans help that enhance Medicare benefits. You can get coverage for costs not covered by Medicare, such as Parts A and B deductibles, co-payments and coinsurance and more. These are available statewide and you can choose any doctor or hospital nationwide that accepts Medicare. Its Medicare Advantage HMOs provide all the medical services and supplies offered by Original Medicare, plus additional benefits like prescription drug coverage and vision benefits. Blue Shield Medicare Rx Plans can help you cover your prescription drug costs.

Corporate address of Blue Shield of California:
50 Beale Street, San Francisco, CA 94105-1808, (415) 229-5000.

 

 

 

 

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