May 01, 2019
Blue Shield of California reports a statewide average rate action of 3.3% for PPOs and 3.8% for HMOs for Q3 2019. To comply with California regulations, Blue Shield updated some of their off-exchange Bronze PPO plans, effective for Q3 2019 for new and renewing groups. The changes were required by DMHC to meet metal level actuarial values. Both of these plans now include combined medical and pharmacy deductibles:
- Groups enrolled in the Bronze PPO 3750/65 plan will renew into the Bronze PPO 4500/70 plan
- Groups enrolled in the Bronze PPO 5700/65 plan will renew into the Bronze PPO 6000/65 plan
Their 25% relaxed participation requirement for groups of five or more enrolling continues in 2019. They are also continuing to accept groups with just one enrollee when the group selects Trio plans only.
