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.
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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.
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
Learn more about specialty coverage
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.
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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.
Learn more about the member experience
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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