Tandem PPO: Tandem is a statewide High Performing PPO Network Solution that leverages many of our ACO partnerships throughout the state, providing the same plan benefits as the full PPO plans but at a lower price. Learn more about the new Tandem PPO program and search for providers in your area today!
Broker Connection Updates: Brokers will be able to view, print and download bonus statements through ICM on Broker Connection.
Relaxed Participation: Take advantage of BSC’s relaxed participation guidelines through March, requiring only 25% employee participation with a minimum of five enrolled employees for medical plans. The relaxed participation requirements include vision and dental plans as well, when purchased with a medical plan. You can share this information with your clients using the Relaxed Participation flier.
HMO Members Pharmacy Vaccines: Small business HMO members are now eligible to receive vaccinations at retail pharmacy locations, a benefit previously available only through PPO plans. Members enrolled in an eligible non-grandfathered plan with an outpatient prescription drug benefit can receive coverage of select vaccines at a participating pharmacy at no additional member cost. You can share this information with your clients using the Vaccines at Retail Pharmacies flier, and encourage them to help fight the flu this season.
March Renewal Kits: Log into Producer Services to download your March kits. In mid-January, BSC will make all second quarter renewals available on the Producer Services portal for April, May, and June.
Annual Mandated Member Reminders: Starting mid-December, BSC will send mandated annual reminders to all members except Medicare and FEP. The reminders will be sent via email. If an email is not available, the reminders will be sent via regular mail. Members can visit blueshieldca.com/annualreminder for more information on these topics.