Blue Shield of California

Blue Shield offers some of the best California Care available in the state. Blue Shield and Anthem Blue Cross have around 50% of the Covered California market. They have taken 1st and 2nd positions for all three years of enrollment through the California Health Exchange. Click Blue Shield Covered California for more information on coverage through the State Exchange.

Quotes and Enrollment

Click California health insurance quotes to find affordable rates on Blue Shield of California medical policies. Government assistance in the form of up-front tax credits is available if you apply on a Covered California plan. Blue Shield also offers dental coverage.

Doctors and Providers

Find doctors and providers that accept your Blue Shield of California coverage. Use the provider list to locate physicians and specialists that are near you who accept your health plan. Health care providers can navigate directly to the provider login page. California brokers can use the Blue Shield agent login.

Member Services

Blue Shield of California customer service offers assistance to their members. Access your online account by logging in. Contact member services for claims, appeals, prior authorization forms or to make a payment. You can also access the Blue Shield bill pay online. Call (800) 393-6130 to contact Blue Shield by phone, or send faxes to (916) 350-8860. The following address can be used for Provider Information and Enrollment: PO Box 629017; El Dorado Hills, CA 95762.

by John Hansen

TRIO is Blue Shield of California’s aim at providing an affordable, high quality managed care product. It is an HMO, so the primary care physician (PCP) serves as the gateway to specialists in an effort to lower costs.

Blue Shield Covered California aims to get every patient to do an initial visit with their PCP to get their checkups. Or, as Renee Casserly, Director of Sales Operations and Business Development at Blue Shield of California, says...

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Posted: July 8th, 2017 under Blue Shield of California , Health Plans in California

by John Hansen

When the Affordable Care Act was passed, Blue Shield Covered California hit the pause button on brand building. They focused their attention on Health Care Reform and being ready for the radical changes in the market. In so doing, they road on their reputation as it was previously established and stopped working on building their brand. 

After (more...)

Posted: June 23rd, 2017 under Blue Shield of California , Health Plans in California


By Wendy Barnett

Early in January, Blue Shield of California announced that they signed a new 3-year agreement with Sutter Health effective January 1, 2017. This is great news as it allows Sutter Health Hospitals and doctors to remain a part of Blue Shield’s network across the state.

What this Means for Members

Blue Shield of California members can now rest assured that their Sutter Health doctors and hospitals will st...

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Posted: February 15th, 2017 under Blue Shield of California , Health Plans in California

by John Hansen

The Blue Shield of California dental plans offer a variety of benefits and services for adults and children enrolled in their Medicare Supplement plan. Unlike other carriers, Blue Shield Dental Insurance California offers unique dental PPO plans. This allows patients to visit dentists within the Blue Shield of California network along with limited coverage from dentists outside their network.

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Posted: July 25th, 2016 under Blue Shield of California

by John Hansen

Covered California for Small Business Gets a Blue Shield Silver Obamacare Health Plan

In 2017, Blue Shield will be adding a Silver Insurance Plan to their Covered California for Small Business (formerly SHOP) plan offerings. Consumers have been frustrated that Shield has not included a silver health care plan on the California Exchange for groups. It has made SHOP less appealing, and it has made Blue Shield less attractive to consumers considering enrolling in (more...)

Posted: July 25th, 2016 under Blue Shield of California


by John Hansen

Care First Will Aid Blue Shield with Consumers Who Toggle Between Covered CA and Medi-Cal

In 2015, Blue Shield, California’s largest non-profit health plan, acquired “Care First”. Currently, the medical insurance carrier is working to integrate Care First into the company.

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Posted: July 25th, 2016 under Blue Shield of California

by John Hansen

Blue Shield of California knows that dropping grandfathered plans is not the most popular thing to do. It goes against the spirit of the Affordable Care Act (ACA). It makes consumers angry. People instantly hear echoes of the Obama Care promise, “You will be able to keep your current plans.”

But will I? Well, maybe. Yes, you can keep your current Blue Shield plan. That’s true as long as the

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Posted: July 25th, 2016 under Blue Shield of California

by John Hansen

Blue Shield of California calls the new plan “Trio”. This will be an ACO plan. ACO stands for Accountable Care Organization. This health benefits package will operate much like an HMO, and it might even be labeled an HMO. Top Blue Shield representatives said they were unsure at this time whether or not it would get the HMO label. However, they seemed certain that this plan would help them compete with California’s top HMO, Kaiser Permanente.

The Trio ACO plan will have a Primary Care ...

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Posted: July 25th, 2016 under Blue Shield of California

by John Hansen

In an Effort to Improve Efficiency, Blue Shield of California Requires Agents to Be Paid by Electronic Funds Transfer

June 2016, Blue Shield of California is mandating that all health insurance brokers selling their plans sign up to receive their commissions by Electronic Funds Transfer (EFT). This will help lower operating costs for this California health plan that is fighting hard to compete with Anthem Blue Cross and Kaiser Permanente.

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Posted: July 25th, 2016 under Blue Shield of California

by John Hansen

Anthem Blue Cross and Blue Shield of California are leading the way when it comes to transparency regarding the cost of various health care procedures. They are now providing online tools where consumers can look up various health care procedures, see average costs, and view mor...

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Posted: May 24th, 2016 under Anthem Blue Cross California , Blue Shield of California

by John Hansen

Blue Shield of California Embraces the Mandate to Assign Primary Care Physicians (PCP’s)

Covered California has mandated that all carriers assign Primary Care Physicians (PCP’s) to all their members. Many expected PPO’s like Blue Shield of California to balk at this. However, top leaders at Blue Shield agree that this move is in everyone’s best interest.

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Posted: May 23rd, 2016 under Blue Shield of California

by John Hansen

On May 3-4, 2016, Blue Shield leadership including two vice presidents met with 25 of California’s top agents to thank them for their sales, share industry insights and to receive input. The meetings consisted of a Tuesday night meet and greet and Wednesday morning brainstorm session. On Wednesday morning, the dialogue went on for over four hours.

Strong Agent-Carrier Relationship

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Posted: May 23rd, 2016 under Blue Shield of California


by John Hansen

During the 2016 Open Enrollment for Covered California, Blue Shield of California enrolled the largest amount of new clients into the exchange of any of the carriers in the Health Insurance Marketplace. Blue Shield took 28% of market share followed by Anthem Blue Cross at 25%, Kaiser Permanente at 24% and Health Net at 13%. Of the enrollments with the other eight carriers offered by Covered California, they only added up to 9%...

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Posted: May 23rd, 2016 under Blue Shield of California

by John Hansen

Blue Shield of California Brings the Regional Sales Managers Back to Headquarters

In 2015, one of the top carriers with Covered California, Blue Shield, pulled their fifteen Regional Sales Managers (RSM’s) out of the field and brought them back to the main office to service their agents remotely. This allowed their RSM’s to service more agents and to serve the...

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Posted: May 23rd, 2016 under Blue Shield of California