• Plan Information
  • Blue Shield of California HMO

Under the Blue Shield HMO plan you must receive all of your care from the Blue Shield network of contracted medical groups and hospitals. You select a primary care physician within the HMO network. Most services are covered at 100% after you contribute the applicable copayment. Refer to the Evidence of Coverage for a detailed list of services, exclusions and limitations. You must live in one of the zip code service areas served by this HMO.

Employees Retirees With Medicare Retirees Without Medicare
January - December 2016 January - December 2016 January - December 2016
Summary of Benefitspdf Summary of Benefits 65 Pluspdf Summary of Benefits Access+pdf
Summary of Benefitspdf
Evidence of Coveragepdf Evidence of Coverage 65 Pluspdf
Evidence of Coverage Access+pdf
Evidence of Coveragepdf
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  • Blue Shield Additional Benefits
  • Behavioral Health - call (877) 263-9952 for information about Blue Shield behavioral health benefits.
  • Wellness Discounts and Resources
  • Contact Blue Shield
  • Access+ Telephone: 1-855-256-9404
  • 65 Plus Medicare Advantage Telephone: 1-800-776-4466
  • Website: blueshieldca.com/sites/sfhss
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