Blue Shield - Trio HMO, Vision Plans, and Bundling Savings

PRISM Login

To access the carrier product and rate information provided by PRISM, check the box below indicating you have read and agree to the license agreement. A button will then appear to access PRISM.

This site uses cookies to track your agreement option. If the terms of the license agreement change or if you clear the cookies from your browser, this page will appear once again during the PRISM login process.

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

Blue Shield – Trio HMO, Vision Plans, and Bundling Savings

Jul 26, 2021, 4 Minute Read

Help your prospects and clients reduce costs by leveraging Blue Shield’s:

Trio HMO Plans
Vision Plans
Bundling Savings

Trio HMO Plans

Blue Shield’s Trio HMO plans are a great way for small businesses to lower healthcare costs without sacrificing the coverage they need. With its quality network of providers (over 17,000 doctors in 26 counties) and enhanced customer service, Trio keeps healthcare costs – and, in turn, rates and premiums – as low as possible.

Benefits for Employers

With a simple way to maintain a strong benefits program while reducing unnecessary expenses, Trio offers:

Lower benefits costs without shifting the cost to the employee through higher deductibles and copays.
Typically lower premiums than Blue Shield’s Access+ HMO®, estimated at 12% to 15% less, depending on the region.
– The statewide average rate difference between Trio HMO and Access+ HMO is 18%.
Cost trends lower than Blue Shield’s Access+ HMO or full PPO, which can bring stabilization to annual price increases.
More coordinated care, which can translate to faster returns to work and a higher level of employee wellness and productivity.

Benefits for Employees

Designed to offer convenience, quality, and affordability, Trio HMO comes standard with the following benefits:

360˚ customer service with Shield Concierge (helpful for employers with a small or no HR team).
$0 24/7 virtual care consults online or by phone with Teladoc.
$0 virtual mental health support with Teladoc*.
$0 first visit on-demand doctor house calls with Heal™.
myStrength digital program that helps members deal with stress, anxiety, sleep, and more*.
Extensive pharmacy network that includes major chains.
Option to self-refer to specialists within the same medical group.
Access to healthy foods at a reduced price with Healthy Savings^®.
– Healthy Savings is included at no additional cost.
– Savings of up to $50 each week.
– 22,00 participating retail stores nationwide.
Urgent and emergency care coverage worldwide.
$0 meal delivery program for qualified patients recovering from a serious illness with LifeSpring.
$0 non-emergency medical transportation services for eligible Trio members who have a serious illness with Call the Car.

*Effective with new or renewing 2021 plans.

The Difference Between Trio HMO and Full Network PPO Plans

HMO (Health Maintenance Organization) offers guided care with your doctor.
Members partner with a doctor in their local network to coordinate their care at lower costs.

PPO (Preferred Provider Organization) offers care on your own terms.
Members enjoy the flexibility to see doctors in a larger network and the ability to customize their care.

Employer groups with current Blue Shield small group coverage will be able to find easy-to-use Trio HMO rate comparisons in their upcoming renewal statement.

Trio HMO Resources

For help presenting Trio HMO options to current and prospective employer groups, contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.

Vision Plans

Digital eye strain is growing as people spend more time on their smartphones and computers. With industry-leading vision plans from Blue Shield, your clients can find the vision coverage that fits their needs.

Advantages

The largest network of ophthalmologists, optometrists, and opticians in California and nationwide gives employees convenience and choice.
Many providers are located at retail locations such as LensCrafters, Site for Sore Eyes, For Eyes Optical, and Target Optical, Walmart, Sam’s Club, and Costco.
98% in-network utilization means employees maximize the value of their vision coverage.
Flexibility. Small groups may offer more than one vision plan.
Generous allowances for premium lens extras versus the copays that are charged on competitor plans.
A retinal imaging exam benefit is now available as an option to the comprehensive eye exam.
Bundling savings by adding vision to existing or new Blue Shield medical plans:
– Small groups (1-100 employees) get a 10% discount on their vision rates.
– Large groups (101-1,000 employees) get a .5% discount on medical rates.
Cost predictability with rate guarantees for both new and existing medical groups adding a dental or vision plan, and/or life insurance:
– Small group: two years.
– Core: four years.

To learn more about Blue Shield’s vision coverage, visit Broker Connection.

Offer your groups the advantages of adding Blue Shield vision plans to their health coverage.

Bundling Savings

Small businesses (1-100 employees) can save 10% on specialty coverage with Blue Shield’s Bundling Savings program. The 10% discount will be applied to dental and/or vision premiums when added to new and/or existing small business medical groups. Get the details.

COVID-19 Resources

Blue Shield Resources

Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.