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BLUE SHIELD TRIO HMO

Meet Marc Harris
Your Local Certified Insurance Agent

I have been helping clients since 1998 and was
one of the first agents to get certified with
Covered California and the CoveredCA.com
Exchange.  After reviewing the Blue Shield Trio ACO HMO options for this years open enrollment, I have concluded that they are going through a huge restructure and are unsure of their operations for this coming year. Some of our clients have seen upwards of a 40% rate increase.  What a "bait and switch" in my opinion.  Ready to renew your policy? We can help you today!  Complete our short Covered CA
RENEWAL FORM and someone will contact you.

BLUE SHIELD TRIO ACO HMO Info / Facts:
Founded in 1939 (78+ Years Ago)

Valued at $17 Billion (in 2014)       2016 Financials
# of Employees: 6,800 (4 million members) 
Privately Held: Non-Profit Health Plan
BBB Rated: NR (Click Here) - Started 8/31/1993
Wiki Link: Blue Shield of CA     Trio ACO HMO FAQs
website:
BlueShieldCA.com
Customer Service Phone: (855) 836-9705
Payment Phone: (800) 393-6130
    $100 Fitbit Credit
In-Network: 
Find a HOSPITAL   /  DOCTOR Search
 
Brochure Download:Blue Shield Trio ACO HMO
2022 Plans-at-a Glance Summary      

Notes
(Advantages & Disadvantages):
- PROS: Solid HMO with very strong growing network
-
Lower monthly premiums compared to other carriers.

- Average rate increases only 3% / Year vs others at 20%
- Shield Concierge available (7am - 7pm)  844-250-2873
- TelaDoc
Video or Phone Dr. visits - $5 copay
- General / Psychiatry / Etc. (8am - 5pm)   800-835-2362
- ACOs have saved members $440+ Million
(see video below)

- CONS: No Blue Card out-of-state network like the PPO
-
Smaller HMO network vs the large PPO network.
- Must get a referral, but your Concierge can do it for you
.

- All of the above is just our honest opinion.


Blue Shield Trio HMO:ACOs(Accountable Care Organizations) have saved over $440 Million to Members and Employers!

Silver 94, 87 & 73 Enhanced CSR
Must have low-income to qualify:

Silver 94
-
$75 Deductible
$5 Dr. Visit Copay / $8 Specialist

$5 Urgent Care          $50 ER Visit

$8 Lab / $8 X-ray
Rx: $3 Generic / $10 Tier 2 / $15 Tier 3
10% Hospitalization
10% Outpatient Surgery

10% Inpatient Surgery (After Deductible)

$1,000 Out of pocket maximum (2 max)


Silver 87- $800 Deductible / $0 Rx
$15 Dr. Visit Copay / $25 Specialist
$15 Urgent Care          $150 ER Visit
$20 Lab / $40 X-ray
Rx: $5 Generic / $
25 T2 / $45 T3 (After Ded.)
15% Hospitalization
15% Outpatient Surgery
15% Inpatient Surgery (After Deductible)
$2,850 Out of pocket maximum (2 max)


Silver 73- $3,700 Deductible / $10 Rx
$35 Dr. Visit Copay / $75 Specialist
$35 Urgent Care
$40 Lab / $85 X-ray
Rx:
$15 Generic / $55 T2 / $85 T3 (After Ded.)
20% Hospitalization
20% Outpatient Surgery
20% Inpatient Surgery (After Deductible)
$6,300 Out of pocket maximum (2 max)

  Trio HMO: Hottest HMO plan in CA!
www.TrioHMO.com

Click a carrier below for company details:

Health Plan Summary:
Platinum 90 -
$0 Deductible

$15 Dr. Visit Copay / $30 Specialist

$15 Urgent Care          $150 ER Visit

$15 Lab / $30 X-ray
Rx: $5 Generic / $15 Tier 2 / $25 Tier 3

10% Outpatient Hospitalization
10% Outpatient Surgery

10% Inpatient Hospitalization

$4,500 Out of pocket maximum (2 max)

Gold 80 - $0 Deductible
$35 Dr. Visit Copay / $65 Specialist
$35 Urgent Care          $350 ER Visit
$40 Lab / $75 X-ray
Rx: $15 Generic / $55 Tier 2 / $75 Tier 3
20% Hospitalization
20% Outpatient Surgery
10% Inpatient Surgery
$8,200 Out of pocket maximum (2 max)

Silver 70- $3,700 Deductible / $10 Rx
$35 Dr. Visit Copay / $70 Specialist
$35 Urgent Care          $400 ER Visit
$40 Lab / $85 X-ray
Rx:
$16 Generic / $60 Tier 2 / $90 Tier 3 (After Ded.)
20% Outpatient Hospitalization
20% Outpatient Surgery
20% Inpatient Hospitalization (After Ded.)
$8,200 Out of pocket maximum (2 max)

Bronze 60 - $6,300 Deductible
$65 Dr. Visit Copay (3) visits / $95 Specialist (3) visits
$65 Urgent Care (3) visits
$40 Lab / X-ray not covered until meet deductible
Rx:
$15 Generic / 40% Tier 2 / 40% Tier 3 (After Ded.)
40% Hospitalization (
After Deductible)
40% Outpatient Surgery (
After Deductible)

40% Inpatient Hospitalization (After Deductible)
$8,200 Out of pocket maximum (2 max)




Open Enrollment 2024

We have done all of
the analysis for you!


  - Carrier Details & Phone #s

  - Information / Co. Facts

  - Pros & Cons of the Carrier

  - Hospital & Doctor Network

  - BBB Rating / Review Links

  - Wiki Links and more!




(Click Logo to Apply Online)

020 Strategy:  Although you will see some plan design changes  and may see a smaller network of doctors and/or hospitals starting 1/1/20, Marc is recommending to stick with your current plan this year.  Have faith, and play the odds, if you need a doctor out of network, just pay cash!

- Get the BEST VALUE

- Licensed CERTIFIED Agent

- 21 Years of Experience

Open Enrollment 2022

Marc's analysis of BLUE SHIELD HMO!

Starts 10/1/23 thru 1/31/24