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.
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. |
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.
• | Gives members the greatest flexibility |
• | Broadest access; coverage in every zip code |
• | $24 PMPM discount advantage |
• | 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 |
• | 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 |
• | 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 |
Our integrated pharmacy and medical model, with nationwide coverage and customized Rx programs to maximize performance, is lowering costs and driving better health outcomes.
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:
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:
Your members will have access to the largest dental provider network in California and nationwide (as part of the Blue network).
The largest vision network in California and nationwide includes doctors, specialists, and retailers like Costco, LensCrafters, Target, and Walmart.
Life insurance options can help your employees provide financial security to their families.
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 |
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.
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. |
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.