You may be eligible for Medi-Cal

Based on the information you provided, it appears you may be eligible for Medi-Cal. Visit the Medi-Cal website and find out how to apply for coverage.

You may be eligible for financial assistance

Based on the information you provided, it appears you may be eligible for financial assistance. Please call (888) 273-0010 8 a.m. to 6 p.m. Monday – Friday; Saturday 9 a.m.1 p.m. to speak with a Blue Shield representative to help determine your premium assistance amount and apply for coverage. Please feel free to browse and become familiar with our plan options.

Get a quote

Based on the information you provided, it appears that you may not be eligible for financial assistance, but you may instead be eligible to enroll in one of our plans that fit your budget.

Shop our plans, get a quote, and apply now.

Blue Shield Medicare plans

Are you looking for a Medicare plan? Browse our plan options, get a quote, and apply now!

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Medi-Cal

If you aren’t looking for a Blue Shield Medicare plan, you may be eligible for Medi-Cal.

Visit the Medi-Cal website and find out how to apply for coverage.

Individual and Family Plans

Do you instead need an individual or family plan for yourself or your family? If so, it appears you may be eligible for financial assistance. Please call (888) 273-0010 between 8 a.m. and 6 p.m. Monday through Friday, or Saturday between 9 a.m. and 1 p.m. to speak with a Blue Shield representative, to help determine your premium assistance amount and apply for coverage. Please feel free to browse and become familiar with our plan options.

Individual and Family Plans

Do you instead need an individual or family plan for yourself or your family? If so, while you don’t seem to be eligible for financial assistance, you may be eligible to enroll in one of our individual or family plans that fit your budget.

Explore our plan options, get a quote, and apply now!

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Compare Plans

Tap the icons below to learn about our health plans and find the right fit for you. (Plan descriptions apply to both PPO and EPO plans
for each metal level.)

Compare our plans to find the level of coverage you’re looking for.

  • Benefit is available prior to meeting any deductible
  • Benefit is subject to a deductible
2015 Benefit
 
Office visit –
primary care doctor
Office visit - specialist doctor
Urgent care visit
Preventive health benefits
Inpatient hospitalization
Outpatient surgery
Lab
X-ray
Emergency room services
not resulting in admission
Maternity
Generic drugs
Preferred brand drugs 
Non-preferred brand drugs 
Acupuncture
Pediatric dental exam
Pediatric eye exam
Pediatric eyeglasses
Calendar-year medical deductible
Calendar-year out-of-pocket maximum (includes deductible)
Calendar-year brand drug deductible
Platinum 90 Gold 80 Silver 70 Silver 941 Silver 871 Silver 731 Bronze 60 Bronze 60 HSA Minimum Coverage
With participating providers, members pay
$20 $30 $45 $3 $15 $40 $60 for first 3 visits per calendar year prior to deductible, then $60 after deductible3 40% $0 for first 3 visits per calendar year prior to deductible, then $0 after deductible3
$40 $50 $65 $5 $20 $50 $70 40% 0%
$40 $60 $90 $6 $30 $80 $120 for first 3 visits per calendar year prior to deductible, then $120 after deductible3 40% $0 for first 3 visits per calendar year prior to deductible, then $0 after deductible3
$0 $0 $0 $0 $0 $0 $0 $0 $0
10% 20% 20% 10% 15% 20% 30% 40% 0%
10% 20% 20% 10% 15% 20% 30% 40% 0%
$20 $30 $45 $3 $15 $40 30% 40% 0%
$40 $50 $65 $5 $20 $50 30% 40% 0%
$150 $250 $250 $25 $75 $250 $300 40% 0%
10% 20% 20% 10% 15% 20% 30% 40% 0%
$5 $15 $15 $3 $5 $15 $15 40% 0%
$15 $50 $50 $5 $15 $35 $504 40%4 0%4
$25 $70 $70 $10 $25 $60 $754 40%4 0%4
$20 $30 $45 $3 $15 $40 $60 40% 0%
$0 $0 $0 $0 $0 $0 $0 $0 $0
$0 $0 $0 $0 $0 $0 $0 $0 $0
1 pair per year 1 pair per year 1 pair per year 1 pair per year 1 pair per year 1 pair per year 1 pair per year 1 pair per year 1 pair per year
$0 $0 $2,000 per individual/ $4,000 per family2 $0 $500 per individual/ $1,000 per family2 $1,600 per individual/ $3,200 per family2 $5,000 per individual/ $10,000 per family2 $4,500 for individuals/ $9,000 for families $6,600 per individual/ $13,200 per family2
$4,000 per individual/ $8,000 per family $6,250 per individual/ $12,500 per family $6,250 per individual/ $12,500 per family $2,250 per individual/ $4,500 per family $2,250 per individual/ $4,500 per family $5,200 per individual/ $10,400 per family $6,250 per individual/ $12,500 per family $6,250 for individuals/ $12,500 for families $6,600 per individual/ $13,200 per family
$0 $0 $250 per individual/ $500 per family $0 $50 per individual/ $100 per family $250 per individual/ $500 per family $04 $04 $04

This is not a contract. All benefit descriptions are an overview of plan benefits. For a detailed description of plan benefits and exclusions, please request a copy of the Evidence of Coverage (EOC) or Policy by calling us at (888) 256-3650.

1 This Blue Shield plan must be purchased through Covered California, and we can help you with the process. All other Blue Shield medical plans displayed on this chart can be purchased through Blue Shield or Covered California.

2 For family coverage, individuals must satisfy their own individual deductible, unless a combination of three or more covered family members satisfies the family deductible. This satisfies the deductible for all covered family members for the remainder of the year.

3 Visit limit is a combination of any physician office visits, urgent care, outpatient mental health, behavioral health, outpatient substance abuse, and postnatal visits.

4 Brand drugs are subject to the calendar-year medical deductible.

Platinum 90
Platinum 90

With zero deductibles, our Platinum 90 plans offer our lowest out-of-pocket costs for in-network benefits.

Gold 80
Gold 80

Our Gold 80 plans have zero deductibles, so we start paying for covered benefits immediately, including benefits people may use most such as doctor visits, prescription drugs, and urgent care.

Silver 70
Silver 70

Our Silver 70 plans offer a balance between monthly premiums and out-of-pocket costs for in-network benefits. Benefits such as doctor visits and generic drugs are available prior to meeting the annual deductible.

Bronze 60
Bronze 60

Our Bronze 60 plans offer lower monthly rates in exchange for a higher deductible and more out-of-pocket costs when receiving in-network medical services. Three primary care doctor visits are available for a copayment before meeting the deductible.

Bronze 60HSA
Bronze 60 HSA

Our Bronze 60 HSA plans offer lower monthly rates and a way to better manage your health coverage spending. Annual preventive care is covered before meeting the deductible. And contributions to a separate HSA account provide opportunities for tax savings and setting aside money for health care related expenses. For more information on HSA's click here

Minimum Coverage 60
Minimum Coverage

Minimum Coverage is a high-deductible plan for people under age 30, or those older than 30 who can prove that they can't afford other coverage or are experiencing other certain hardships.

Silver 94
Silver 94

Individuals and families whose income is between 133% and 250% of the federal poverty level may be eligible for one of our three Silver cost-sharing reduction plans available through Covered California. These plans offer lower copayments, deductibles, and out-of-pocket maximums than our other plan offerings, so individuals and families pay less when accessing medical care from participating providers.

Silver 87
Silver 87

Individuals and families whose income is between 133% and 250% of the federal poverty level may be eligible for one of our three Silver cost-sharing reduction plans available through Covered California. These plans offer lower copayments, deductibles, and out-of-pocket maximums than our other plan offerings, so individuals and families pay less when accessing medical care from participating providers.

Silver 73
Silver 73

Individuals and families whose income is between 133% and 250% of the federal poverty level may be eligible for one of our three Silver cost-sharing reduction plans available through Covered California. These plans offer lower copayments, deductibles, and out-of-pocket maximums than our other plan offerings, so individuals and families pay less when accessing medical care from participating providers.

Cost sharing plans available through Covered CaliforniaTM

Why Blue Shield?

Nearly 3 million Californians trust Blue Shield with their health coverage. We give you a variety of health plan options to fit your life. With Blue Shield you’ll get:

When it comes to the right health plan for you and your family, live by your own plan.

Find a Doctor or Hospital

Learn how to use the Find A Provider tool and find doctors, specialists and hospitals in your plan’s network.

Additional Coverage

Blue Shield offers dental, vision and life insurance* options. Along with a Blue Shield health plan, these options can provide well-rounded coverage for you and your loved ones.

* Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).