> Our 2005 Awards include Strategic Health Care Communications: Distinction Award for in eHealthcare Strategy & Trends San Francisco Chamber of Commerce: Excellence in Business Award Consortium Health Plans: Outstanding Quality and Commitment in the RFI Process for Blue Cross Blue Shield national account business Best of Blue Awards: Best Practices in Quality Improvement: Patient Highlights: Effective Clinical Reminders for Physicians Best Practices in Quality Improvement: Medical and Pharmacy Management Direct Marketing Award: Healthy Lifestyle Rewards: Invest in Yourself Internal Communications Award: Go the Extra MILE Blue Awards: BlueWorks Quarterly Award (Third Quarter): Advanced Access. > Our 2006 Awards include The Webby Awards: 2006 Award Nominee for Best Insurance Website The Web Marketing Association: Best Insurance Website eHealthcare Leadership Awards, for : Best Business and Health Promotion Use of the Internet and Technology, Silver Award for Best Health/Health Care Content in the HMO/PPO/Other Insurer Category, and Gold Award for Best Overall Internet Site in the HMO/PPO/Other Insurer Category National Committee for Quality Assurance: Accreditation status of Excellent - the highest possible level - based on a voluntary review of how a health plan ensures its members are receiving high-quality care Best of Blue Awards: Innovations in Medical Pharmacy Management Award: Healthly Lifestyle Rewards.
Trio+ Specialist visits for mental health services must be provided by a participating mental health service administrator (MHSA) network provider.> Blue Shield continues to receive many awards for our industry-leading programs and services. This benefit is for a first specialist visit only subsequent visits will require a referral. Members should then select a specialist within that medical group or IPA.
** To use this option, members must select a PCP who is affiliated with a medical group or IPA that is a Trio+ provider group, which offers the Trio+ Specialist feature. Access+ HMO is a registered trademark of Blue Shield of California. Access+ Specialist visits for mental health services must be provided by a participating mental health service administrator (MHSA) network provider. * To use this option, members must select a PCP who is affiliated with a medical group or IPA that is an Access+ provider group, which offers the Access+ Specialist feature. Trio+ Specialists care office visit (self-referral)**
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Teladoc medical doctor or mental health professional video or phone consultation Please see your Evidence of Coverage and Disclosure (EOC&D) for a detailed description of coverage benefits and limitations. Medical benefit calendar-year out-of-pocket maximum Inpatient visits at a hospital or skilled nursing facility Hearing aid - up to a maximum of $1,000 per member, every 36 months for both ears for the hearing aid instrument and ancillary equipment
Other specialist care office visit (referred by PCP)Įmergency care - no copayment if hospitalized or kept for observationĮye refraction to determine need for corrective lensesĮyeglasses - not covered, except for those that are necessary after cataract surgery Teladoc medical doctor or phone consultationĪccess+ Specialists care office visit (self-referral)* Pregnancy and maternity care: prenatal/postnatal office visits
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