San Francisco Health Service System addresses Blue Shield contract impacts on members

The San Francisco Health Service System (SFHSS) meeting on June 12, 2025, highlighted significant changes affecting healthcare access for city members, particularly concerning Blue Shield's contract with the University of California health system. Executive Director Ray Guillen opened the session by welcoming new commissioners and acknowledging the challenges posed by the transition to Blue Shield for Medicare beneficiaries.

A key focus of the meeting was the potential disruption in services due to the impending expiration of Blue Shield's contract with UC health, set for July 10, 2025. Amy DeHart, Blue Shield's area vice president, detailed the implications for SFHSS members, emphasizing that while active and pre-65 retiree PPO plans would be affected, HMO members would retain access to their primary care providers through Hill Physicians Medical Group. However, referrals to UCSF specialists may be impacted, potentially classifying them as out-of-network.

DeHart reassured members that Medicare Advantage PPO plan holders would not experience disruptions as long as UC providers continue to accept Medicare. She urged members to reach out to Blue Shield's customer service for assistance and to ensure continuity of care.

The meeting concluded with a commitment from Blue Shield to work closely with SFHSS to keep members informed and supported during this transition, underscoring the importance of maintaining access to affordable healthcare amidst these changes.