• Plan Information
  • Blue Shield 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.

Active Employees Retirees With Medicare Retirees Without Medicare
July 1, 2011 - June 30, 2012 July 1, 2011 - June 30, 2012 July 1, 2011 - June 30, 2012
Summary of Benefits Summary of Benefits (65 Plus)pdf
Summary of Benefits (Access+)pdf
Summary of Benefits
Evidence of Coveragepdf Evidence of Coverage (65 Plus)pdf
Evidence of Coverage (Access+)pdf
Evidence of Coveragepdf
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  • Blue Shield Wellness Benefit Highlights
  • Wellness Resources - Online nurse chat, articles about health issues and more.
  • Wellness Discounts - Log-in to see discounts on Weight Watchers, 24 Hour Fitness and more.
  • Behavioral Health - call (877) 263-9952 for information about Blue Shield behavioral health benefits.
  • Contact Blue Shield
  • Telephone: (800) 642-6155
  • Group Numbers: H11054 (Access+); MA0002 (65 Plus)
  • Website: www.blueshieldca.com/sfhss