Blue Shield of California
$250 Calendar Plan Deductable
$10 Office Visit Co-Pay
90/10 Preferred Provider Coverage
70/30 Non-Preferred Provider Coverage
Plan Year: October 1, 2011 to September 30, 2012
Blue Shield Group Number
and Contact Information:
Group Number: 977986-0003Blue Shield Member Services: (800) 424-6521Website: blueshieldca.com
Prescription Drug Mail Order Center:
Group Number: 977986-0003
Member Services: (866) 346-7200
To add, delete, or change employee coverage, click the link below to download the Blue Shield Change form.
Forms are due to Human Resources within 30 days of the qualifying event. If the form is received on the 31st day or after; coverage is not available until open enrollment in the upcoming fiscal year.
Blue Shield Plan Documents: