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Board adopts Blue Shield HMO and PPO renewals; Aon warns of higher HMO trend, PPO shown as stable
Summary
The Health Service Board approved 2026 rate cards for Blue Shield Access Plus and TRIO HMOs and the non‑Medicare PPO; the board accepted Aon’s recommendation to align GLP‑1 weight‑loss coverage to BMI ≥40 and to adopt SB 729 infertility changes.
The San Francisco Health Service Board approved 2026 renewals for Blue Shield of California HMO plans (Access Plus and TRIO) and for the non‑Medicare Blue Shield PPO plan during the May 20 meeting.
Aon’s lead actuary, Mike Clark, summarized the recommendations: Access Plus HMO will carry an 8.7% total increase (including stabilization), TRIO HMO 9.2%, and the non‑Medicare PPO a 0.5% increase overall. Clark told the board that national trend assumptions used in projections were roughly 9% for medical…
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