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Blue Shield of California Access+ HMO
Do you or your dependents go to the doctor often?

Quick QuoteIf 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.

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.)

Humana One Vision Care Insurance

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.

Money-back Guarantee - Blue Shield's member feedback program, Access+ Satisfaction, will refund your usual office visit copayment and provide a postage-paid postcard for your comments if you are ever dissatisfied with the service you receive during a covered office visit with an HMO network physician.

The NEW Stand Alone Dental Plans now available...

Blue Shield Dental PlansBlog With MeBlue 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.

Blue Shield offers two new PPO dental plans to choose from. The new Smile PPO and the Value Smile PPO dental plans both provide you affordable options to help you stay healthy now and avoid costly dental expenses in the future. The savings you will receive with the Smile PPO plan keep the cost of dental work from taking a deep bite our of your wallet later. The Value Smile PPO plan provides preventive, diagnostic, and some minor restorative services designed to aid in reduction of future costly services. Find out more on these two new plans and how to enroll by clicking here.....

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Other Supplemental Plan Options
 
Temporary Insurance
     
Short Term Medical

For strong Temporary financial protection, choose Short Term Medical from Assurant Health

  • 30 - 180 Days of coverage
  • Inpatient and Outpatient coverage
  • Four deductible options to choose from
  • Choose your co-insurance percentages
  • Lifetime Maximum of $2 million

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Dental Insurance
     
Anthem Dental Blue

Anthem Blue Cross offers a stand alone dental insurance for individuals, families and seniors.

  • Includes cleanings, exams, X-rays at 100%
  • No waiting period for checkups
  • $1,250 Annual Maximum
  • Freedom to go outside PPO network if desired
  • Network with over 19,000 providers

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Dental Insurance

Assurant Health Dental insurance helps pay for dental checkups and treatment. Available as a stand alone plan for individuals and families.

  • Cash benefits help pay for checkups and treatment
  • No waiting period for checkups
  • Visit any dentist - non network restrictions
  • Three dental plans to choose from
  • Pays benefits in first policy year even though waiting period has not been met

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Humana One Dental Preventive Plus

HumanaOne offers Dental Preventive Plus as a stand alone dental plan designed for the individual or family that enjoys overall good dental health.

  • 100%, no deductible preventive care
  • No waiting period for checkups
  • Pays 50% for all Basic Services inside network
  • Enjoy pre-negotiated discounts at network providers

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Anthem Blue Cross Premium Plus Dental

SENIOR DENTAL Premium Plus offers Dental Preventive Plus as a stand alone dental plan designed for the individual or family that enjoys overall good dental health.

  • 100%, no deductible preventive care
  • No waiting period for checkups
  • Pays 80% for all Basic Services inside network
  • $1,250 Annual Benefit per member
  • Enjoy pre-negotiated discounts at network providers

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Accident Insurance
     
Accident Insurance

Accidental injuries catch you off guard, not to mention the costs associated with an accidental injury. But the expense is less of a concern if you have Accident Coverage for Assurant Health.

  • Benefits are paid immediately - no waiting period
  • Over and above any benefits you receive from any other plan
  • No overall annual or lifetime limit - no matter how many accidents you have

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Vision Care
     
HumanaOne Vision Care

HumanaOne offers Vision Care Insurance for individuals that can be added to any insurance plan. Affordable premiums, simple enrollment and no deductible coverage.

  • Low exam co-payments
  • Eyeglass lenses covered 100% after copay
  • $40 wholesale allowance for frames
  • One eye exam per year

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