Learn about your health benefits
Access+ HMO plan

Plan highlights

The Access+ HMO® plan is affordable and predictable – you pay only the copayment for most covered services like doctor visits, urgent care and emergency care. Your primary care physician (PCP) coordinates all your care as well as refers you to specialists and hospitals within their medical group/Independent Practice Association (IPA).

When you enroll in the HMO plan for the first time, you must choose a PCP for yourself and your covered dependents. Each member of your family can choose a different physician and medical group/IPA.
Trio HMO plan
Trio HMO is made up of a network of local doctors, specialists and hospitals that work closely together to coordinate your care. The goal of Trio HMO is to ensure that all aspects of your care are more connected to help improve your overall well-being, whether it be managing a chronic disease or reducing your stay at a hospital. Through this coordination, care is delivered more efficiently, resulting in lower monthly premiums than our Access+ HMO® plan.

Trio HMO is only available to employees that reside in California. To enroll in Trio HMO, you and your eligible dependents must enroll in the same plan and you must also live or work within the Trio HMO service area. Visit blueshieldca.com/triocheck for a listing of the Trio service areas.

When you enroll in Trio HMO for the first time, you must choose a primary care physician (PCP) for yourself and your covered dependents. Each member of your family can choose a different physician and medical group/Independent Practice Association (IPA).
EIAHealth EPO plan

Plan highlights

The EIAHealth EPO plan is a self-funded plan, administered by Blue Shield of California. With this EPO plan, you'll choose from PPO physicians and hospitals. Except for emergencies, you are not covered if you get medical treatment by non-network providers. For some services, Blue Shield may require that you use a specific network provider.
EIAHealth HDHP plan

Plan highlights

The EIAHealth HDHP (High Deductible Health Plan) is a self-funded plan , administered by Blue Shield of California. With this HDHP plan, you can see any doctor you choose for most services. You can also self-refer to specialists. You will usually pay less for services that are provided by PPO network providers.

For most services, you will need to meet the plan’s deductible before Blue Shield begins coverage. Once your deductible is met, you’ll pay a copayment or coinsurance for most services and your out-of-pocket costs will be based on whether you see network or non-network providers. You will usually pay less when you use network providers.
EIAHealth PPO plan

Plan highlights

The EIAHealth PPO plan is a self-funded plan, administered by Blue Shield of California. With this PPO plan, you can see any doctor you choose for most services. You can also self-refer to specialists. You will usually pay less for services that are provided by PPO network providers.

For most services, you will need to meet the plan’s deductible before Blue Shield begins coverage. Once your deductible is met, you’ll pay a copayment or coinsurance for most services and your out-of-pocket costs will be based on whether you see network or non-network providers. You will usually pay less when you use network providers.