Blue Shield of California
Access+ HMO and Value HMO
 Do you or your dependents go to the doctor often?
 If your answer is "yes" Access+ HMO might be the right plan for you: You'll have access to a wide range of routine and preventive care services, prescription drug coverage and mental healthcare visits for a small copayment or for no out-of-pocket charge at all, without having to meet a deductible.
Please see the following Uniform Plan Matrix for specific benefit details.
Blue Shield of California Access+ HMO plan advantages
- Affordable $20/$35 office visit copayments
- $10 copayments for generic drug prescriptions; $35 for brand-name drugs
- Direct access to a specialists
- $2,000/$4,000 hospital deductible
- Preventive Care provided at no extra charge
- Blue Shield's HMO network has more than 25,000 doctors and 280 hospitals thoughout California
- Basic dental services with Access+ HMO
- No lifetime maximum on plan benefits
- Virtually no claim forms
Personal Care from your Personal Physician
Your relationship with the Personal Physician you choose is the key to your Access+ HMO Plan:
- Provide or coordinate your necessary medical services
- Arrange for referrals to specialists and hospitals and other covered non-physician healthcare practitioners
- Authorize medically necessary Emergency Services. (Your Personal Physician or his or her designee will be available 24 hours a day, seven days a week.)
 Special Features of the Access+ HMO Plan
Self-Referral to Specialist - With Access+ Specialist you can go directly to a specialist or other physician in the same medical group or IPA as your Personal Physician, without a referral. When you self-refer, your copayment will be $35/$50 per covered office visit (depending on which plan option you select). To use the Access+ Specialist option, you must belong to a medical group or IPA that is an Access+ Specialist provider group.
Self-referrals to Gynecological Exams and OB/GYN Visits - Women may go to directly to an OB/GYN or family preactice physician in the same medical group or IPA as their Personal Physician for obstetrical/gynecological services - including annual gynecological exams - without a referral. |
Blue Shield of California now offers a range of affordable and comprehensive dental plans available to residents of California with or without a Blue Shield health plan. With Blue Shield's broad dental network including nearly 20,000 dental PPO providers and more than 8,600 HMO providers in California it is easy to access one of the largest networks in California.
Anthem California
