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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. 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.* |
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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
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. |
How to Enroll
Enrolling is easy. Submit your application online by clicking the "APPLY NOW" link below. If you have questions and would like an agent to contact you prior to applying then click on the Agent Assist link to the right or call us at 619.435.6700. |
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)
- Have questions? Then give us a call or complete the SALES ASSISTANCE form to the right. We will call you.
- Applying is easy - simply complete the application process online from the comfort of your home or office. Ready to Apply? Click Here...
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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 |
| 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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