Choose
Blue Shield of California
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Low out of paycheck
costs
The Blue Shield Access+ HMO
offers the same
comprehensive health
benefits as the other health
plans, but with more
affordable payroll
deductions starting as low
as $0 for active employees.1
Compare for yourself and
see.
Click
here
for details on your Blue
Shield Access+ HMO plan.
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Log in for $175 with
Healthy Lifestyle Rewards
Healthy Lifestyle Rewards is
an online, interactive
program that rewards you
with cash just for
participating. This
confidential program
provides valuable tools to
help you get in shape, eat
right, reduce stress or quit
smoking. Access up-to-date
health information – even
receive email updates to
keep you focused and on
track. All you have to do is
complete the online Wellness
Assessment and log on every
week to earn credit for
participating. A change in
your health can also mean
change in your pocket.2
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The doctors and
hospitals you trust
At Blue Shield, we know how
much you value the
flexibility to choose your
own doctors. We offer one of
the largest provider and
hospital networks in
California. Our HMO Access+
network includes Brown &
Toland Medical Group, Hill
Physicians Medical Group,
Mills Peninsula Medical
Group, California Pacific
Medical Center, UCSF Medical
Center, Alta Bates Summit
Medical Center, John Muir
Health and many more.3
For a complete listing of
San Francisco-area Blue
Shield providers, visit the
Find a
Provider
section on blueshieldca.com.
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Specialty
self-referrals
Your Access+ HMO plan gives
you plenty of choice. You
can see a specialist
recommended by your Personal
Physician or you can choose
to self-refer to a
specialist within your
medical group or IPA
(independent practice
association). While this
self referral feature has a
slightly higher copayment,
the choice is yours.4
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Nurses and
counselors on call 24/7
As a Blue Shield member,
you'll have round-the-clock
access to medical
information from a
registered nurse by phone or
online. You can also talk to
Master's-level counselors
for support with work and
personal issues. Our
specialists have resources
for senior care, childcare
and even financial
counseling and legal advice.
All communications are
completely private and
available 24 hours a day,
seven days a week. Call
(866) 543-3728 or visit
blueshieldca.com/advisers.
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Urgent care away
from home
Through the BlueCard®
Program, you and your
eligible family members will
have access to urgent care
across the country and
around the world. You can
locate a BlueCard provider
any time by calling (800)
810-BLUE (2583) or by going
to the
Find a
Provider
section of blueshieldca.com.
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Health and wellness
programs
We've developed a suite of
health management programs
to help you feel better and
stay healthier. When you
participate in our
specialized programs, such
as those for asthma or
diabetes, you'll get
practical resources and
support at no extra cost.
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blueshieldca.com
Our Web site
blueshieldca.com
can help you better manage
both your health and your
health plan. In 2006,
eHealthCare awarded our site
Best Business and Health
Promotion uses of the
Internet and technology and
Best Overall Internet Site.
Whether you want to find a
doctor or learn more about
plan benefits, treatment
options, prescription drugs
or our wellness programs
blueshieldca.com has what
you need.
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Discount programs
As a Blue Shield member,
you'll have access to
significant discounts on
alternative care services
and maintenance prescription
drugs. The Alternative Care
Discount Program5
provides members with
discounts of 25% or more on
a variety of alternative
services, including massage
therapy. Visit the
Alternative Care Discounts
section on blueshieldca.com
for information on how to
use the program.
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Dedicated Member
Services
Your dedicated Member
Service Representatives are
based here in Northern
California and are trained
on all the features and
benefits of the San
Francisco Health Service
System plan. Call
(800) 642-6155,
Monday to Friday, 7 a.m. to
7 p.m. Or visit us online at
blueshieldca.com
– any time, day or night.
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Compare hospitals
and treatment options
Compare hospitals,
investigate treatment
options and find out more
about prescription or
over-the-counter drugs
through the
Lifepath Decision Guide
section on
blueshieldca.com. All of
the site's resources are
available to Blue Shield
members anytime, at no extra
cost.
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Ask the Pharmacist
Have a question about a
prescription? Need more
information about taking a
medication? You can use our
Ask the Pharmacist feature
to submit your clinical
question online. You’ll get
an answer within two
business days from one of
the pharmacists at the
University of California,
San Francisco, School of
Pharmacy. Both your question
and answer are viewable only
by you in a secure and
confidential manner online.
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Stability
Blue Shield of California is
a San Francisco-based,
not-for-profit health plan
with nearly 65 years of
service to our community.
Our commitment is long-term:
We're here for you today,
and we'll be here for you
tomorrow as well.
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"Excellent" quality
accreditation
The National Committee for
Quality Assurance (NCQA)
awarded our HMO plan its
highest accreditation –
"Excellent" – for service
and clinical quality. This
accreditation is reserved
for the best health plans in
the nation and is awarded
only to plans that meet or
exceed the NCQA's rigorous
standards.
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1 |
This payroll
deduction applies to
certain active San
Francisco Health
Service System
members, dependent
upon benefit status
and bargaining unit.
Other deductions may
apply.
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2 |
Although dependents
may access program
content, only
subscribers are
eligible for cash
rewards.
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3 |
Physician, medical
group and hospital
availability is
subject to change.
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4 |
If your Personal
Physician
participates in our
Access+ Specialist
program, you may go
directly to a
specialist in your
Personal Physician’s
medical group or IPA
without a referral
for a slightly
higher copayment.
Medical groups and
IPAs that
participate in the
Access+ Specialist
program are
designated with an
A+ in our online and
printed directories
and on your Blue
Shield member ID
card.
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5 |
The Alternative Care
Discount Program is
an exclusive offer
to Blue Shield
members, made
available through an
arrangement with
American Specialty
Health Networks of
California, Inc.
(ASH Networks) and
is not a covered
service of any Blue
Shield health plan.
ASH Networks
credentials and
manages the
program’s
practitioners. None
of the terms and
conditions of Blue
Shield health plans
apply. Blue Shield
of California and
ASH Networks do not
review the program’s
practitioner
services and
products for medical
necessity or
efficacy and makes
no representations,
claims or guarantees
regarding their
services or
products. Members
who use the discount
program are
responsible for the
payment of services
provided by
participating
network
practitioners,
including payment
for cancelled or
missed appointments.
Members who are not
satisfied with
services received
from the program’s
practitioners may
use the Blue Shield
grievance process.
Blue Shield reserves
the right to
terminate this
program without
notice. |
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Blue Shield of California, an independent
member of the Blue Shield Association, is a
not-for-profit health care company dedicated
to providing Californians with access to
high quality care at a reasonable price.
Founded in 1939, it now has 3.3 million
members, 4,500 employees, one of the largest
provider networks and more than 20 office
locations, providing a wide range of HMO,
PPO, Medicare, Healthy Families and
administrative services products throughout
the state. In 2005, the company contributed
$30 million to the Blue Shield of California
Foundation to fund nonprofit organizations
that improve access to quality health care
in California. Contact your local agent or
broker for more information about Blue
Shield products and services, or visit the
Blue Shield web site at www.blueshieldca.com. |
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