Large Group Account
Attracting and keeping talent can be challenging for midsize to large companies (101–2,999 employees), so offering competitive health benefits is critical to recruitment.
Blue Shield stands out in a crowded field. You can choose from a range of plans and high-value programs with the flexibility to tailor benefits and financial arrangements to meet your specific needs.
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Striking the right balance
Employees today expect more—even from companies that don’t have deep pockets. Blue Shield helps you balance what your employees want with your budget needs.
Plan choice Strike the right balance between rich benefits and affordability.
Flexibility
Tailor plans to your specific group needs.
A quality experience
Members can take advantage of several digital solutions to stay on top of their care and coverage. They’ll also enjoy simple, responsive customer service.
A guide to large group options
Whether you’re seeking a fully insured plan or looking for self-funded/ASO options, you can count on Blue Shield to help you improve employee health outcomes and achieve better cost performance.
Trio HMO
•Blue Shield works with an accountable care organization (ACO) provider network to deliver integrated care at a better price. Trio HMO enables more coordinated care and a more holistic view of health while reducing duplication of services and unnecessary costs.
Access+ HMO
•These plans offer low copayments for a wide range of HMO benefits, including preventive care, inpatient and outpatient services, and emergency care.
Local Access+ HMO
•Employers who have a localized employee base and look to lower their healthcare spending can consider this option.
Access+ HMO SaveNet plans
•These plans offer an HMO plan with a targeted physician network to lower your rates (must be paired with one of our standard Access+ HMO plans).
PPO plans
•When you want maximum flexibility, PPO plans offer members an expansive network, the option to go out of network, and the ability to see a specialist without a referral.
Tandem PPO
•Tandem PPO plans deliver the same benefits as our full PPO plans but at a lower cost. Tandem offers a slightly streamlined provider network with a complement of high-value member benefits, including the Shield Concierge service model.
Active Choice PPO
•These plans provide comprehensive coverage with flexibility and greater management over spending while providing reliable protection against the impact of high-cost services.
PPO savings plans
•These plans are high-deductible health plans (HDHPs) ideal for employees who want to be actively in control of their healthcare expenses by saving tax-advantaged dollars for future medical expenses.
New: Virtual Blue: Next-level care for a changing world
A new-generation health plan that offers total care for employees, from virtually anywhere. Virtual Blue provides virtual-first coverage including integrated primary, behavioral, and specialty care with $0 virtual visits through AccoladeCare. Employees also have the option of in-person care when preferred through a Blue Shield PPO network.
Learn more about Virtual Blue
Added Advantage POS plans
•For employers who want the best of both worlds, our Added Advantage POS plans combine the convenience and out-of-pocket costs of our HMO with access to our extensive PPO provider network.
Pharmacy: Tailored plans for greater value
Our integrated pharmacy and medical model, with nationwide coverage and customized Rx programs to maximize performance, is lowering costs and driving better health outcomes.
Learn more about Pharmacy
Cost-saving solutions for employers
We offer flexible network and plan benefit options designed to meet your company’s needs while providing value-driven care for your employees.
Your account team will help with plan management strategies, including:
- Robust formularies that offer competitive discounts
- Pharmacy and medical data analytics to identify cost trends and opportunities
A better experience for employees
Your employees will benefit from an integrated treatment approach and a single source of support for pharmacy and medical questions.
Our seamless member experience includes:
- Broad access to more than 65,000 pharmacies nationwide
- More coordinated care and personalized case management for at-risk members
Dental, vision, and life coverage
Learn more about specialty coverage
Dental
Your employees will have access to one of the largest dental provider network in California and nationwide (as part of the Blue network).
Vision
The largest vision network in California and nationwide includes doctors, specialists, and retailers like Costco, LensCrafters, Target, and Walmart.
Life
Life insurance options can help your employees provide financial security to their families.
Your company is unique. Let’s talk about how we can build a benefits plan to meet your needs.
Looking to self-fund coverage? Let’s create a plan that helps your employees be their best and helps you control costs.
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Self-funded/administrative services only (ASO) plans
With our ASO products and programs, you can control costs, manage risk, and increase employee engagement in their health.
•Customizable plans with whole-person coverage available (disease management, Rx, dental, vision)
•80,000+ providers in California; national coverage with our extensive BlueCard® network
•Member advocacy and service model that engages employees in their health—with performance guarantees to back it up
What can you expect from Blue Shield?
For members: Blue Shield is in their corner
Blue Shield is vocal about our commitment to members. That includes making care accessible to everyone in new ways, whether online, at home, or in the community; and working to drive down costs and eliminate systemic inefficiencies in creative, groundbreaking ways.
Learn more about the member experience
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For employers: A high-touch account service model
With your group’s investment in your employees’ health, you can expect nimble, responsive, and strategic account support:
•Your own designated, experienced account manager is here for you every step of the way.
•Backup support: Our Premier priority team is on call to back up your account manager.
•Ongoing strategic consultation: Your account manager will consult on healthcare utilization trends and help you make the most of your benefits plan.
Compare plans, premiums, and network coverage
80+ years strong and committed to a diverse, equitable future
As a nonprofit, we’ve always put our members first. That includes operating on a stable financial footing and removing barriers to care, whether financial, logistical, or personal.
OUR FINANCIAL RATING FROM A.M. BEST
BUSINESS INTELLIGENCE RECOGNIZED US IN 2021 FOR EXCELLENCE IN CUSTOMER SATISFACTION