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HSS and Blue Shield outline transition plan for Medicare Advantage PPO; board demands monthly updates
Summary
San Francisco Health Service System and Blue Shield presented a joint transition plan to move MAPD PPO members from UnitedHealthcare to Blue Shield on Jan. 1, 2025, promising automatic enrollment, expanded communications and a concierge phone line; commissioners and retirees pressed for clear metrics and accountability.
San Francisco Health Service System officials and representatives from Blue Shield of California told the HSS board on Aug. 8 that the switch of the system's Medicare Advantage PPO from UnitedHealthcare to Blue Shield will proceed on Jan. 1, 2025, and that existing members will be automatically enrolled unless they elect another plan.
HSS Chief Operating Officer Reggien said the organizations have assembled a joint transition team and are tracking success metrics to avoid disruption to members’ care. "We are very confident that all existing HSS members will be enrolled in the Blue Shield plan come January 1, and there won't be any…
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