Compare Medical Plans

The County of San Luis Obispo offers 5 different types of medical plans for different needs and budgets. Every plan includes free preventive care from network providers to check that you’re staying healthy. Each plan provides its own network of doctors, hospitals and labs. The differences are in cost, flexibility and access to care. For the most current plan information, please review the current Employee Benefits Brochure. 

Review the Summary of Benefits (SOB) or Evidence of Coverages (EOC) to learn more about each individual medical plan.

Unsure what some of these terms mean for you and your dependents? Visit the Choosing a Medical Plan page to learn more about these key terms and other considerations.

Blue Shield Medical Plans and Networks
Plan NameNetwork Name
Blue Shield Tandem PPOTandem PPO Network
Blue Shield Choice PPOBlue Shield of California PPO 
Blue Shield Care PPO
Blue Shield EPO
Blue Shield High Deductible Health Plan (HDHP)
Blue Shield Medicare PPO
Blue Shield Medicare EPO

Use the plan names and networks information to help you do a Blue Shield Provider Search.

  • Employer Group: "PRISM - County of San Luis Obispo"
  • Group Number: W8002724
2024 Blue Shield Medical Plan Documents
 Blue Shield TandemBlue Shield ChoiceBlue Shield CareBlue Shield EPOBlue Shield HDHP
Summary of Benefits (SOB)Tandem PPO SOB Choice PPO SOBCare PPO SOBEPO SOBHDHP SOB
Summary of Benefits and Coverage (SBC)Tandem PPO SBCChoice PPO SBCCare PPO SBCEPO SBCHDHP SBC
Evidence of Coverage (EOC)Tandem PPO EOCChoice PPO EOCCare PPO EOCEPO EOCHDHP EOC
2024 Blue Shield Medicare Plan Documents
 Blue Shield Medicare PPOBlue Shield Medicare EPO
Summary of Benefits (SOB)Medicare PPO SOBMedicare EPO SOB
Summary of Benefits and Coverage (SBC)Medicare PPO SBCMedicare EPO SBC
Evidence of Coverage (EOC)Medicare PPO EOCMedicare EPO EOC
2025 Blue Shield Medical Plan Documents
 Blue Shield TandemBlue Shield ChoiceBlue Shield CareBlue Shield EPOBlue Shield HDHP
Summary of Benefits (SOB)Tandem PPO SOB Choice PPO SOBCare PPO SOBEPO SOBHDHP SOB
Summary of Benefits and Coverage (SBC)Coming SoonComing Soon
Coming Soon
Coming Soon
Coming Soon
Evidence of Coverage (EOC)Coming Soon
Coming Soon
Coming Soon
Coming Soon
Coming Soon
2025 Blue Shield Medicare Plan Documents
 Blue Shield Medicare PPOBlue Shield Medicare EPO
Summary of Benefits (SOB)Medicare PPO SOBMedicare EPO SOB
Summary of Benefits and Coverage (SBC)Coming SoonComing Soon
Evidence of Coverage (EOC)Coming SoonComing Soon

Continuity of Care

Any member who has any qualifying medical condition with a non-contracted provider will need to complete a Continuity of Care form (see form below).

  • In Network transitional coverage is provided for 90 days following the date of contract termination.
    • Applies only if members are receiving ongoing care, or are scheduled to receive care, and are not enrolled in a new health plan. Or, if their doctor isn’t in their new plan’s network.
    • Additionally, one of the circumstances listed below must apply:
      • Member is treatment for a serious and complex condition. 
      • are in a hospital or other inpatient facility.
      • are scheduled for non-elective surgery by your current doctor, including your post-operative care for the surgery.
      • are pregnant.
      • are terminally ill

How To Apply: 

  • Fill out the Anthem Continuity of Care form (see below).
  • Contact Anthem at 800-967-3015
  • Contact Accolade for support in this process 866-406-1275

Blue Shield Claims

You can submit manual/paper claims to Blue Shield using the below addresses. 

For claims within California:

Blue Shield of CA

PO Box 272540

Chico, CA 95927-2540

For claims outside of California:

Blue Shield of CA

Attn: Blue Card

PO Box 272630

Chico, CA 95927-2630

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