Your Health Plan Documents
Thank you for choosing Blue Shield of California.
We want to make it easier for you to understand how your health plan works and what to expect. If you have any questions about any of the plans administered by Blue Shield, please contact your dedicated Blue Shield Member Services team.
In the table are plans available through your employer from Blue Shield of California. You may download an Evidence of Coverage (EOC), Certificate of Insurance (COI), or Summary of Benefits and Coverage (SBC) document by selecting the name of a health plan. If you do not see your policy documents below, they will be published as soon as they are available. You may view representative documents at http://blueshieldca.com/policies.
We look forward to serving you and those who depend on you.
We want to make it easier for you to understand how your health plan works and what to expect. If you have any questions about any of the plans administered by Blue Shield, please contact your dedicated Blue Shield Member Services team.
In the table are plans available through your employer from Blue Shield of California. You may download an Evidence of Coverage (EOC), Certificate of Insurance (COI), or Summary of Benefits and Coverage (SBC) document by selecting the name of a health plan. If you do not see your policy documents below, they will be published as soon as they are available. You may view representative documents at http://blueshieldca.com/policies.
We look forward to serving you and those who depend on you.
| Plan Name | Document Type | Effective Date |
| Gold Full PPO 750-30 OffEx | SBC | 12/2023 |
| Platinum Access HMO 0-25 OffEx | SBC | 12/2023 |
| Platinum Full PPO 0-10 OffEx | SBC | 12/2023 |
| Platinum Full PPO 250-15 OffEx | SBC | 12/2023 |
| Gold Full PPO 750-30 OffEx | SBC | 12/2022 |
| Platinum Access HMO 0-25 OffEx | SBC | 12/2022 |
| Platinum Full PPO 0-10 OffEx | SBC | 12/2022 |
| Platinum Full PPO 250-15 OffEx | SBC | 12/2022 |
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