Blue Shield of California Balance Plans

Balance Plans 1000, 1700, 2500
Blue Shield of California Life & Health Insurance Co.

You Can't Afford Not to Have Health Care

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. Balance^SM 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 PPO^SM Plan 5000.*

These PPO plans balance coverage and cost, and offer a sensible blend of comprehensive benefits and relatively low deductibles.

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 .
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.

To enroll, you must be:

Age 64 3/4 or younger
A permanent legal resident of California
A U.S. resident for at least the lst 3 months
The applicant's spouse or domestic partner, age 64 3/4 or younger
The applicant's children (under 19 years of age), or the children (under 19 years of age) of the applicant's enrolling spouse or qualified partner or qualified domestic partner;
The applicant's unmarried dependent children between the ages of 19 through 22 ("dependent" as defined by the Internal Revenue Service)

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Blue Shield of California Balance Plans at a Glance
BALANCE PLAN 1000, 1700 AND 2500 These plans are underwritten by Blue Shield of California Life & Health Insurance Company.
Plan Options	Balance Plan 1000	Balance Plan 1700	Balance Plan 2500
DEDUCTIBLE	$1,000 (2,000 Family)	$1,700 ($3,400 Family)	$2,500 ($5,000 Family)
COPAYMENTS	$30 with Preferred Providers Not applicable with Non-Preferred Providers	$30 with Preferred Providers Not applicable with Non-Preferred Providers	$30 with Preferred Providers Not applicable with Non-Preferred Providers
CALENDAR YEAR COPAYMENT/ COINSURANCE MAX (Includes plan deductible, some services do not apply)	Services with Preferred Providers: $5,500 ($11,000 Family); Services with all providers: $8,500 ($17,000 Family	Services with Preferred Providers: $3,000 Individual only Services with All Providers: $5,000	Services with Preferred Providers: $4,500 Individual only Services with All Providers: $6,500
LIFETIME MAXIMUM	$6,000,000	$6,000,000	$6,000,000

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