National Accounts

Competitive benefits can be a real differentiator for recruiting and retaining top talent. Blue Shield can help define and enhance your benefits package so that you can hire a high-performing team.

Whether you’re seeking a fully insured plan or self-funding your healthcare program, we offer nationwide coverage—100% of U.S. zip codes are covered. And you can look to us to deliver better value for your healthcare dollar.

  • The sweet spot of coverage

    Get the nationwide coverage you need, the flexibility you want in tailoring plans for your company or client, and a more modern “anytime, anywhere” care experience for members.

     

    Nationwide coverage

    100% of U.S. zip codes are covered; 97% of claims are paid in-network.

     

    More flexibility

    You can tailor coverage to meet your needs, taking advantage of a range of programs that can improve health outcomes and contain costs.

     

    A better member experience

    A high-touch member engagement service model, effective clinical programs, and digital tools support your employees in their healthcare journey and make sure they are getting the right care at the right time.

  • A guide to your national program options

    You can collaborate with us on a health and wellness strategy that achieves the right balance of benefits and cost performance wherever you have employees. Several national value-based networks and programs can help your organization control costs while delivering excellent health outcomes for your employees. Nationwide BlueCard® coverage is included.

  • BlueCard® PPO

    Gives members the greatest flexibility

    Broadest access; coverage in every zip code

    $24 PMPM discount advantage

    Blue Distinction® Specialty Care centers of excellence

    Providers demonstrate expertise, quality care, and better results

    Lower readmissions and complication rates

    20% average cost savings per person per episode

    100 markets in 49 states and the District of Columbia

  • Blue High-Performance NetworkSM

    Focused network that balances access, affordability, and quality

    11%+ total cost of care savings over our industry-leading PPO

    In-network access in 65+ U.S. markets

    Accessible to 185M+ Americans

    Total Care

    Nation’s largest ecosystem of value-based care programs

    27M+ members

    280,000+ providers; available in 44 states and the District of Columbia

    30% reduction in healthcare cost trend

  • 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.

  • 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

    Your members will have access to 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.

Want more control and flexibility? Learn how self-funding can meet your group’s health coverage needs.

  • Self-funded/administrative services only (ASO) plans

    Our self-funded plans offer flexibility, control, and programs that promote a simpler member experience and better outcomes. These include Connect, our high-touch member advocacy service model.

    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.

  • For employers: A high-touch account service model

    Our high-touch client support model may be one reason why Blue Shield has a 98% national client retention rate.

    Your own dedicated account manager: A seasoned client manager (with 10 to 20 years’ experience) is here for you every step of the way.

    Backup support: Our Premier priority team is on call to help in urgent situations or if your account manager is out.

    Intelligent Health reporting: Identify cost trends and opportunities based on real-time data with our user-friendly plan dashboard. You can also benchmark your company’s utilization and outcomes with national, regional, and industry competitors.

  • 80+ years strong and committed to a diverse, equitable future

    As a nonprofit, Blue Shield puts 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

    • 100% OF ZIP CODES COVERED

Let’s discuss how Blue Shield can help your workforce stay healthy and focused.