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Blue Shield of California Balance Plan 1000, 1700,2500
  Health coverage helps protect you physically and financially. With a Blue Shield of California plan, you'll pay only a fraction of the total cost of your medical care because of the specific amounts their network providers have agreed to charge Blue Shield for their services. And you'll have access to one of the largest networks of doctors and hospitals in California, so it's easy to find the doctor you want.
The Balance Plans from Blue Shield of California Life and Health Insurance Company offer three plan choices. BalanceSM Plans 1000, 1700, and 2500*, provide coverage, and ER care right away, before you meet your deductible. They offer easy access to a wide range of quality care, including benefits for chiropractic care and acupuncture.
Blue Shield of California now allow you to use your Master Card or VISA to pay your monthly payments. You can even choose an date between the 1st and the 28th of the month for your payments to be processed. To apply for one of the Balance Plans from Blue Shield of California click on the Apply Online Image just above.
These plans don't include maternity coverage; however, members who become pregnant can transfer without underwriting into Shield Spectrum PPOSM Plan 5000.
Blue Shield of California's Balance Plan Advantages
- Three plan deductibles, Balance Plans $1,000, $1,700, and $2,500.
- The plan's copayment/coinsurance maximum includes your medical deductible so you'll pay only up to the copayment/coinsurance maximum in a calendar year.
- Balance of affordable premiums and affordable deductibles.
- First-dollar coverage for member’s doctor office visits, preventive care, emergency room services
- Generic prescription drugs for $10
- Doctor visits and preventive care are provided for a fixed copay ($30) before you need to meet the deductible
- Well-baby vistis for a flat copay ($30)
- Coverage for chiropractic and acupuncture services.
- Access to one of California’s largest PPO provider networks with more than 48,000 providers and 350 hospitals throughout the state
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 The NEW Stand Alone Dental Plans now available...
 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.
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.
Life Insurance...
Blue Shield Life can help you prepare for the unexpected. Blue Shield Life offers the financial protection and security of $10,000, $30,000, $60,000 or $100,000 in term life insurance. In addition, life insurance can be continued beyond the termination of your health plan. |
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Blue Shield of California Balance Plans at a Glance |
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| Covered Services |
Balance Plan 1000 |
Balance Plan 1700 |
Balance Plan 2500 |
| Ofiice Visits |
$30 |
$30 |
$30 |
| Preventive Care Exam |
$30 |
$30 |
$30 |
| Mammogram and GYN Screening |
$0 + preventive care exam copayment |
| Hospitalization |
30% after deductible
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| Lab and X-ray |
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| Emergency Room |
$100 (waived if admitted) + 30% |
| Maternity |
Not Covered |
| Gerneric Rx |
$10 |
Brand formulary Rx |
$35 after $500 brand Rx deductible
(Blue Shield pays up to $2,500 per member per year)
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| Annual Deductible |
$1,000 for individuals or
$2,000 for families |
$1,700 for individuals or
$3,400 for families |
$2,500 for individuals or
$5,000 for families |
| Annual out-of-pocket maximum (includes deductible) |
$5,500 for individuals or
$11,000 for families |
$6,500 for individuals or
$13,000 for families |
$7,500 for individuals or
$15,000 for families |
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Benefits for covered brand-name drugs are subject to a separate brand-name drug deductible per person per calendar year. Balance plans have a $500 brand-name drug deductible. Blue Shield Life's payments for brand-name prescriptions are limited to $2,500 per calendar year.
These plans are underwritten by Blue Shield of California Life & Health Insurance Company. |
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Other Supplemental Plan Options |
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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
View details  |
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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
View details |
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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
View details |
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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
View details |
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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
View details |
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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
View details |
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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
View details |
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Aetna
