Fly Into Q3 With Blue Shield

Third Quarter Rate Action Statewide Averages

HMO: 3.8%

PPO: 3.3%

Overall: 3.4%

Renewing Groups Compounded Annual Increase: 2.7%

Blue Shield Releases Updated Bronze PPO OffEx Plans for Q3 New Sales and Renewals

Earlier this year Blue Shield paused marketing on two new 2019 Off-Exchange Bronze plan designs in order to make benefit modifications to comply with California regulations. While the original plans were initially approved and compliant with Federal Actuarial Value (AV) requirements they exceeded the maximum AV allowed at the California state level and Blue Shield has made changes required by DMHC to meet California metal level actuarial values. These plans now include combined medical/pharmacy deductibles. Groups that prefer an option with separate medical and pharmacy deductibles should consider the Silver Full PPO 2000/45 OffEx and Silver Tandem PPO 2000/45 OffEx plans.

Benefit summaries are available for the updated plans below (SBCs are pending release and will be posted to the RBG website when available).

Bronze Full PPO 4500/70 OffEx
Bronze Tandem PPO 4500/70 OffEx
Bronze Full PPO 6000/65 OffEx

Effective 7/1/2019 renewing groups will map as follows to the updated Bronze plans:

  • Groups enrolled in the Bronze PPO 3750/65 plan will renew into theBronze PPO 4500/70 plan.
  • Groups enrolled in the Bronze PPO 5700/65 plan will renew into theBronze PPO 6000/65 plan.

Don’t Forget – Fitness Your Way Program is Available to Blue Shield of California Members

Blue Shield subscribers and dependents age 18 and older can get healthy and feel good on their own terms with Fitness Your Way. The program offers members the flexibility to work out at any network fitness location – anytime, anywhere – as often as they like for $25 per month per person. The network includes more than 800 fitness locations in California and over 10,000 nationally!

Check out the Fitness Your Way Brochure for additional info and enrollment details.

Updated Blue Shield Q3 Resources

Small Business Master Group Application Effective 7.1.19
Employer Request for Contract Change Effective 7.1.19
Small Group Employee Enrollment Form Effective 7.1.19
Small Group Subscriber Change Request Form Effective 7.1.19
Blue Shield Sales Guide 7.19
What’s New for Small Group Q3 2019

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