Health Plan Shakeup as UnitedHealthcare Transitions to Blue Shield

In a recent government meeting, key updates regarding health insurance plans were discussed, particularly focusing on the transition from Anthem to Blue Shield as the administrator for PPO plans starting January 2025. Lisa, a representative, clarified that members transitioning to Medicare will not experience disruptions in provider choice or networks despite the administrative change.

Included Health has been introduced as a partner to assist members with care coordination and provider navigation. They will provide services such as virtual health for primary and behavioral care, and support for billing inquiries. Members can still contact their doctors directly if their providers remain in-network with Blue Shield.

For those enrolled in UnitedHealthcare Medicare Advantage plans that will not be offered in 2025, automatic enrollment into the UnitedHealthcare Medicare Advantage PPO will occur without requiring any action from members. A comprehensive health benefits summary for 2025 will be available on the website, allowing members to compare plans easily.

Additionally, members were informed about the process for checking if their doctors are in-network for specific plans, which can be done through the myCalPERS tool or by contacting the plan directly. During the open enrollment period, corrections to health plan selections can be made, provided they are submitted before the deadline.

Lastly, the meeting confirmed that the Blue Card program, which allows members to access care while traveling out of state, will continue under Blue Shield. This transition aims to streamline member services while maintaining continuity of care.