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Blue Shield will replace its EPO plans with PPO plans in four Northern California EPO regions

July 29, 2015 By Kevin Knauss Leave a Comment

Blue Shield of California

July 28, 2015

In a news conference held yesterday, July 27, 2015, Covered California announced 2016 Individual & Family Plan (IFP) rates. The average rate increase came in at 4 percent statewide.

Importantly, Covered California noted that rate increases vary by region and that Northern California average increases (7.0 percent) are higher than Southern California (1.8 percent) largely due to a lack of provider competition in the north.*

We’re pleased to announce that Blue Shield’s rates increased on average by only 2.1 percent statewide*, and we are one of only two health plans offering statewide coverage through the Exchange in 2016.

Some Blue Shield highlights for IFP plans include:

  • 79 percent of Blue Shield members will receive an increase of less than 10 percent
  • 63 percent of members on a Silver Plan will receive a rate decrease
  • Four Southern California regions will experience a decrease on average for the rates for those regions
  • Blue Shield will replace its EPO plans with PPO plans in four Northern California EPO regions (Rural North, Wine Country, Alameda, and Monterey) for 2016 which means out-of-network benefits and access to out-of-network providers

We will keep you updated on Individual & Family Plans as we continuously respond to the evolving needs of consumers and Covered California.

*Please note that these figures reflect Covered California’s weighted averages.

For more information on yesterday’s announcement, including a breakdown of rates by region, see Covered California’s 2016 preliminary health plans booklet and press release.

Filed Under: Blue Shield, Covered California, HPN Tagged With: 2016, Blue Shield, California, EPO, PPO

About Kevin Knauss

Independent health insurance agent and Certified Insurance Agent for Covered California. Serving all of California. Editor of Health Plan News for California consumers. Feel free to call him for clarification on items posted on this website at 916-521-7216 or email on his contact page of
www.insuremekevin.com

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