Find In-Network Specialists
Blue Shield of California, founded in 1939, is a not-for-profit health plan providing a range of health insurance options to individuals, families, and businesses across California. With a mission to ensure access to high-quality health care, the organization has been a significant player in the state's health insurance landscape for decades, focusing on innovative health solutions that meet the evolving needs of its members.
As one of the largest health insurance companies in California, Blue Shield serves millions of members through a comprehensive portfolio of health plans, including individual and family plans, employer-sponsored insurance, Medicare Advantage plans, and dental coverage. They offer various types of managed care plans like Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) plans, providing flexible choices to accommodate the diverse healthcare needs of their members.
BLUE CROSS of CALIFORNIA-HMO plans typically cover a wide range of healthcare services including preventive care, emergency services, hospitalization, outpatient treatments, prescription medications, and specialist visits, provided you visit network providers and obtain necessary referrals.
When enrolling in a BLUE CROSS of CALIFORNIA-HMO plan, you can select a PCP from their extensive network. This selection can be done during the enrollment process or by contacting customer service later to make changes. It's important to choose a PCP who fits your needs, as they will coordinate your overall healthcare.
To see a specialist under a BLUE CROSS of CALIFORNIA-HMO plan, you typically need a referral from your primary care physician. The PCP will assess your condition and, if necessary, refer you to a specialist within the network. It’s essential to ensure the specialist is part of your plan's network to avoid additional out-of-pocket costs.
Yes, preventive services are a key feature of BLUE CROSS of CALIFORNIA-HMO plans. Most preventive services, such as annual check-ups, immunizations, and screenings, are covered at no cost to members when provided by in-network providers, helping to promote overall health and early detection of potential health issues.
