Blue Shield of California Q2-2024 Updates

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Big News! Health Net is Now Available Through Claremont Insurance!

Why Choose Health Net?
✔ Lowest rates in the market – Affordable options without compromising quality.
✔ Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
✔ Flexible HMO options – Networks to fit nearly every group statewide and every budget.
✔ Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
✔ Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
✔ Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.

Start Including Health Net in Your Quotes Today!
Need guidance on networks, plan designs, or have questions? We’re here to help!

Call us at 800.696.4543 | Email us at info@claremontcompanies.com

Jan 9, 2024, 3 Minute Read

Blue Shield of California remains committed to providing your small group clients with comprehensive benefits that prioritize the well-being of employees. Here’s a summary of the changes for the second quarter of 2024.

Q2-2024 Rates

Rates are now available through PRISM, our free and easy online quoting system.
The Q2-2024 rate action is a statewide average of 2%.
More information can be found on Broker Connection.

Q2-2024 Renewals

April 2024 renewals should be available on Thursday, January 11, 2024.
Visit the Renewal Center page on Broker Connection for more information.

Medical Plans

Reminder: 2 new Virtual Blue^SM plans are available:
– Virtual Blue Platinum Tandem PPO 250/20
– Virtual Blue Silver Tandem PPO 2700/75
Virtual Blue plans are now offered on all 4 metal tiers.
There are minimal portfolio and plan design changes for 2024.
The 2024 medical plan names have been mapped to the 2023 plan names with information including the plan name change due to updated copay, coinsurance or deductible amounts for 2024.
2024 Medical Plans at a Glance provides a list of all 2024 plans with descriptions, value-add, and select benefit cost shares.
2024 Medical Plan Cheat Sheet is an easy to share list of all 2024 plan offerings.
Q2-2024 Medical Sales Guide provides comprehensive information about selling Blue Shield of CA products and the value proposition.

Dental Plans

Reminder: 13 DPPO plans and one DINO plan have been withdrawn from the Specialty portfolio for 2024.
The dental plan mapping grid for withdrawn plans.
Q2-2024 Specialty Sales Guide includes all the dental and vision plan offerings.

Vision Plans

Reminder: EyeMed is the new vision network provider, replacing MES Vision. EyeMed and MES have been working together to ensure a smooth transition.
Portfolio vision changes include:
• Optometric out-of-network (OON) visits now match ophthalmologic cost share.
• Eyeglass frame OON allowance has increased.
• All vision plans include both Standard and Progressive lenses (no-line bifocals) benefits.
• Contact lens benefit updates:
– Electives – reduce OON allowance to match OON frame allowance.
– Non-elective (medically necessary) – same cost share for hard and soft contacts.
Q2-2024 Specialty Sales Guide includes all the dental and vision plan offerings.

Small Business Incentive Program

The bonus program is in effect from February 1, 2024 through January 31, 2025.
Brokers can earn points for every new Tandem and Virtual Blue PPO membership for renewing groups.
• 100 points per new enrolled member in a Tandem PPO or Virtual Blue plan as part of the initial sale.
• 50 points per new enrolled medical member on all plans, excluding Tandem and Virtual Blue PPO plans as part of the initial sale.
• 10 points per new enrolled member in a small business dental plan.
• 5 points per new enrolled member in a small business vision plan.
• 5 points per new enrolled member in a small business life insurance plan.
• 2x points for each new member enrolling in all three: dental, vision, and life (40 points total).
The current Small Business Incentive Program is good through January 31, 2024. The new program above includes a change in points earned for non-Tandem and Virtual Blue plans.

Renewal Rewards Program

Brokers can earn points for every new Tandem and Virtual Blue PPO membership.

100 points per new enrolled member in a Tandem PPO or plan. February 2023 – January 2024 effective dates.
100 points per new enrolled member in a Virtual Blue plan. March 2023 – January 2024 effective dates.
Specialty plans. February 2023 – January 2024 effective dates.
• 10 points per new enrolled dental member.
• 5 points per new enrolled vision member.
• 5 points per new enrolled life member.

Bundled Saving Program

The 10% specialty discount is a perpetual program that is applied when a dental and/or vision plan is added to a new or existing small business medical group.

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Questions?
Contact The Answer Team at 800.696.4543 or info@claremontcompanies.com.

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