All Health Plans

Blue Shield offers some of the largest provider networks in the state. And with all Blue Shield plans, emergency services are covered anywhere in the world.

We’re here to help! If you have questions about finding the right plan for you, please call us at 800-569-1156. Ask about how you can complete your coverage needs with our affordable dental and individual term life insurance.

  Starting Monthly Rate Annual Deductible Out-of-Pocket Maximum Preventive Care Exams Office Visits Inpatient Hospitalization Maternity? ER Visit Prescription Drugs
Vital Shield
Plan 2900 		$52* $2,900 $5,900 See Office Visits $40 for first 2 visits per calendar year1 40% after annual deductible is met No $100 + 40% after annual deductible is met $10 for generic; brand name drugs not covered
Shield Savings Plan 5200 $64* $5,200 $5,200 $0 $0 after annual deductible is met $0 after annual deductible is met No $0 after annual deductible is met $0 after annual deductible is met4
Shield Savings
4000 		$64** $4,000 $4,000 $0 $0 after annual deductible is met $0 after annual deductible is met No $0 after annual deductible is met $0 after annual deductible is met4
Vital Shield
Plan 900		 $65* $900 $4,900 See Office Visits $40 for first 2 visits per calendar year1 40% after annual deductible is met No $100 + 40% after annual deductible is met $10 for generic; brand name drugs are not covered
Vital Shield Plus Plan 2900 Generic Rx $66* $2,900 $4,900 See Office Visits $30 for the first 5 visits per calendar year2 40% after annual deductible is met No $100 + 40% after annual deductible is met $10 for generic; brand name drugs not covered
Shield Savings Plan 3500 $66* $3,500 $5,000 $0 $0 after annual deductible is met $0 after annual deductible is met No $100 after annual deductible is met $10 for generic; $35 for brand name drugs after annual deductible is met4
Vital Shield Plus Plan 900 Generic Rx $78** $900 $3,900 See Office Visits $30 for first 5 visits per calendar year2 40% after annual deductible is met No $100 + $40% after annual deductible is met $10 for generic; brand name drugs not covered
Shield Spectrum PPO Plan 5000 $81* $5,000 7,000 $35 $35 after annual deductible is met 30% after annual deductible is met Yes $30% after annual deductible is met $10 for generic; $35 for brand name drugs after a $500 Brand Rx deductible is met4
Balance Plan 2500 $88** $2,500 $7,500 $30 $30 30% after annual deductible is met No $100 + 30% $10 for generic; $35 for brand name drugs after a $500 Brand Rx deductible is met - up to $2,5004
Vital Shield Plus Plan 400 Generic Rx $101** $400 $2,900 See Office Visits $30 for the first 5 visits per calendar year2 40% after annual deductible is met No $100 + 40% after annual deductible is met $10 for generic; brand name drugs not covered
Essential Plan 4500 $101* $4,500 $4,500 $40 $40 for first 3 visits per calendar year3 $0 after annual deductible is met No $100 $10 for generic; brand name drugs not covered
Balance Plan 1000 $128* $1,000 $5,500 $30 $30 30% after annual deductible is met No $100 + 30% $10 for generic; $35 for brand name drugs after a $500 Brand Rx deductible is met – up to $2,5004
Shield Savings 2400 $129* $2,400 $4,000 $35 $35 after annual deductible is met 30% after annual deductible is met Yes $75 + 30% after annual deductible is met $10 for generic; $35 for brand name drugs4
Shield Spectrum PPO Plan 2000 $130*** $2,000 $7,000 $45 $45 $250 + 30% after annual deductible is met Yes $100 + 30% after annual deductible is met $10 for generic; $35 for brand name drugs after a $500 Brand Rx deductible is met4
Active Start Plan 35 $145*** no deductible $7,500 $35 $35 $500 + 40% No $100 + 40% $10 for generic; $35 for brand name drugs after a $500 Brand Rx deductible is met4
Access + HMO® $350*** $2,000 $3,000 $20 $20 $250 after annual deductible is met Yes $75 $10 for generic; $35 for brand name drugs after a $200 Brand Rx deductible is met4
Active Start Plan 35 Generic Rx $95** no deductible $7,500 $35 $35 $500 + 40% No $100 + 40% $10 for generic;brand name drugs not covered
Shield Spectrum PPO Savings Plan 1800 $69*** $1,800 $5,800 $35 $35 after annual deductible is met 30% after annual deductible is met No $75 + $30% after annual deductible is met $10 for generic;$35 for brand name drugs3
Vital Shield Plus Plan 900 $87*** $900 $3,900 See office visits $30 for the first 5 visits2 per calendar year 40% after annual deductible is met No $100 + 40% after annual deductible is met $10 for generic; $45 for brand name drugs after a $500 brand Rx deductible is met3
Essential Plan 1750 $117*** $1,750 $1,750 $40 $40 ($0 after annual deductible is met) $0 after annual deductible is met No $100 $10 for generic; brand name drugs not covered
Active Start Plan 25 Generic Rx $123** no deductible $6,000 $25 $25 $500 + 40% No $100 + 40% $10 for generic;brand name drugs not covered
Active Start Plan 25 $133*** $25 $25 $10 generic/$35 brand name drugs† $25 + 40% No $500 + 40% $6,000 no deductible
  • 1 Limited to first two visits per calendar year for any combination of preventive care and physician office visits. After two visits have been used, the member pays 100% of the allowable amount until the calendar year copayment maximum is met, and costs for the visits do not accrue to deductible or copayment maximum.
  • 2 Limited to first five visits per calendar year for any combination of preventive care and physician office visits. After five visits have been used, the member pays 100% of the allowable amount until the calendar year copayment maximum is met, and costs for the visits do not accrue to deductible or copayment maximum.
  • 3 Limited to first three visits per calendar year (preventive care exams and office visits not combined). After three visits have been used, the member pays 100% of the allowable amount until the calendar year deductible is met. No charge after deductible is met.
  • 4 Brand name benefit shown applies to formulary drugs. Member’s costs may increase for non-formulary brand name drugs if covered by the benefit plan. You can check coverage in the Pharmacy section on blueshieldca.com with our Drug Database & Formulary search function.
  • * Monthly rates are for individual males age 19-29 in good health, for the following counties: Alpine, Butte, Colusa, Del Norte, Humboldt, Imperial, Inyo, Kern, Kings, Madera, Mendocino, Plumas, San Benito, San Joaquin, Santa Barbara, San Luis Obispo, Siskiyou, Sonoma, Stanislaus, and Trinity counties. Rates may vary by age and region.
  • ** Monthly rates are for individual males age 19-29 in good health, for the following counties: Alameda, Contra Costa, and Santa Clara counties except ZIP codes beginning with 940-943. Rates may vary by age and region.
  • *** Monthly rates are for individual males age 19-29 in good health, for the following counties: San Bernardino; Riverside zip codes 91752, 92248 and zip codes beginning with 923-28 except 92860, 92880, 92883; Orange except zip codes beginning with 926; Los Angeles zip codes 90247-51, 90260-61, 90274-75, 90500-10 and zip codes beginning with 906-912, 915, 917-18, 935; Ventura except zip codes beginning with 913. Rates may vary by age and region.

All plans listed except Access+ HMO and Shield Savings 2400 are underwritten by Blue Shield of California Life & Health Insurance Company. Access+ HMO and Shield Savings 2400 are underwritten by Blue Shield of California. Vital Shield Plus plans, Shield Savings plans 3500 and 5200 are subject to regulatory approval.

This information is not a contract and is only a partial comparison of some of the benefits of the various Blue Shield plans. For all plans except Access+ HMO, benefits shown represent the member’s financial responsibility when using Blue Shield preferred providers. Non-preferred provider costs can be higher.