Trio ACO HMO Network

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Trio ACO HMO Network

Trio HMO members create their own community of care by choosing from a quality network of select doctors, hospitals, and pharmacies. The network includes all specialties and levels of care.

Working together with Blue Shield, these providers are committed to delivering a better coordinated, effective, and efficient care experience to members while also reducing costs.

Similar to our regular HMO plans, Trio HMO plans require members to select a primary care physician (PCP) to coordinate and direct their healthcare needs.

Call Shield Concierge Call Shield Concierge, Monday through Friday from 7 a.m. to 7 p.m., for personal assistance and to request a provider directory.

• Small group (1-100) members call (855) 664-5577 • Large group (101+) members call (855) 829-3566

blueshieldca.com Blue Shield’s Trio ACO HMO Network is in 24 California counties. It includes a subset of physicians, Independent Practice Associations (IPAs), and medical groups and affiliated physicians from our Full HMO Network. (P) = Partial: The Trio ACO HMO Network is available only in parts of this county. (F) = Full: The Trio ACO HMO Network is available throughout this full county. To find a doctor, go to blueshieldca.com/networkTrioHMO.

County IPA/medical group name County IPA/medical group name Alameda (F) Hill Physicians Medical Group Inc., a few cities (Dublin, Riverside (P) Primecare of Citrus Valley Livermore and Pleasanton) are served by John Muir Primecare of Corona Medical Group in Contra Costa County Primecare of Moreno Valley Inc. Contra Costa (F) John Muir Physician Network Primecare of Riverside Inc. El Dorado (P) Some parts of the county are served by Sacramento County providers Hill Physicians Sacramento Primed Primecare of Sun City Inc. Inc. and Mercy Medical Group Primecare of Temecula Inc. Kern (P) Gemcare Medical Group Inc. Delano Region Valley Physicians Network Inc. Gemcare Medical Group Inc. Bakersfield Region Sacramento (P) Hill Physicians Sacramento Primed Inc. Los Angeles (P) Access Medical Group Inc. Mercy Medical Group Access Medical Group Santa Monica San Bernardino (P) Alliance Desert Physicians EHP Allied Pacific of California IPA Beaver Medical Group EHP AppleCare Medical Group Whittier Chaffey Medical Group EHP AppleCare Medical Group Pinnacle Medical Group EHP AppleCare Medical Group St. Francis Region Pomona Valley Medical Group AppleCare Medical Group Select Redlands Yucaipa Medical Group Axminster Medical Group – Little Company St. Mary High Desert Medical Group of Mary – San Pedro Premier Healthcare IPA Axminster Medical Group – Little Company of Mary PrimeCare Medical Group of Chino Valley Inc. IPA – Torrance PrimeCare of Inland Valley Inc. Axminster Medical Group – Providence Care Network – Tarzana San Diego (P) Mercy Physicians Medical Group Axminster Medical Group Inc. Scripps Physicians Medical Group Facey Medical Foundation Burbank Scripps Clinic Medical Group Facey Medical Foundation San Fernando Valley SHPS – Scripps Coastal Medical Center Facey Medical Foundation Santa Clarita San Francisco (F) Hill Physicians San Francisco Inc. Facey Medical Foundation Simi Valley San Joaquin (F) Hill Physicians San Joaquin Good Samaritan Medical Practice Associates San Luis Obispo (P) Physician Choice Medical Group of San Luis Obispo Korean American Medical Group San Mateo (F) Sequoia Physicians Network Pomona Valley Medical Group Santa Clara (F) Santa Clara County IPA Torrance Health IPA Santa Cruz (F) Dignity Health Medical Network Santa Cruz* Marin (P) Meritage Medical Network Solano (P) A few cities (Benicia, Dixon and Vallejo) are served Nevada (P) Sierra Sacramento BSC Admin by John Muir Medical Group and Woodland Clinic. Orange (F) Hoag Affiliated Physicians Stanislaus (P) AllCare IPA – Stanislaus ACO Tulare (P) A few cities – Earlimart, Pixley, Posey, and Tipton – Mission Hospital Affiliated Physicians are served by GEMCare Medical Group Inc. in Mission Internal Medical Group Kern county. St. Joseph Heritage Medical Group Ventura (P) Seaview IPA St. Joseph Hospital Affiliated Physicians Yolo (P) Woodland Clinic St. Jude Affiliated Physicians St. Jude Heritage Medical Group Placer (P) Some parts of the county are served by Sacramento County providers Hill Physicians Sacramento Primed Inc. and Mercy Medical Group

* Previously Physicians Medical Group of Santa Cruz and renamed Dignity Health Medical Network as of 9/1/17. Enrolled employees and all their dependents must live or work in the Trio HMO plan service area to be eligible for coverage. Trio ACO HMO Network hospitals Trio members have access to a wide array of hospitals, located near our contracted Independent Practice Associations (IPAs) and medical groups. The chart below shows a partial list of available hospitals within the Trio service area based on typical referral patterns. For a complete list of hospitals available in the Trio ACO HMO Network, please use Blue Shield’s Find a Doctor tool at blueshieldca.com/NetworkTrioHMO.

Hospitals marked with an asterisk indicate a Trio HMO alliance hospital, which means an elevated level of member care coordination between Blue Shield, the medical group/IPA, and the hospital.

County Trio ACO HMO hospitals County Trio ACO HMO hospitals Alameda Alta Bates Summit Medical Center Riverside Riverside Community Hospital Contra Costa John Muir Medical Center Concord Campus* San Gorgonio Memorial Hospital John Muir Medical Center Walnut Creek Campus* Southwest Healthcare System (Murrieta) El Dorado Mercy General Hospital* Southwest Healthcare System (Wildomar) Mercy Hospital of Folsom* Temecula Valley Hospital, Inc. Mercy San Juan Hospital* Sacramento Mercy General Hospital* Methodist Hospital of Sacramento* Mercy Hospital of Folsom* Kern Bakersfield Memorial Hospital* Mercy San Juan Hospital* Delano Regional Medical Center Methodist Hospital of Sacramento* Mercy Hospital Bakersfield* San Bernardino Loma Linda University Medical Center Los Angeles Alhambra Hospital Medical Center Pomona Valley Hospital Medical Center Garfield Medical Center* Redlands Community Hospital Good Samaritan Hospital* San Antonio Community Hospital* Greater El Monte Community Hospital St. Mary Medical Center* Henry Mayo Newhall Hospital St. Bernardine Medical Center Marina Del Rey Hospital San Diego Scripps Green Hospital* Monterey Park Hospital Scripps Memorial Hospital Encinitas* Northridge Hospital Medical Center (Roscoe Campus) Scripps Memorial Hospital La Jolla* PIH Hospital – Downey* Scripps Mercy Hospital* Providence Holy Cross Medical Center* Scripps Mercy Hospital Chula Vista* Providence Little Company of Mary Medical San Francisco Saint Francis Memorial Hospital* Center San Pedro* Saint Mary’s Medical Center San Francisco* Providence Little Company of Mary Medical UCSF Benioff Children’s Hospital* Center Torrance* UCSF Medical Center* Providence Saint Joseph Medical Center* UCSF Medical Center at Mission Bay* Providence St. John’s Health Center* UCSF Medical Center at Mount Zion* Providence Tarzana Medical Center* San Joaquin St. Joseph’s Medical Center of Stockton* San Gabriel Valley Medical Center* San Luis Obispo French Hospital Medical Center* Simi Valley Hospital and Health Care Services Marian Regional Medical Center, Arroyo Grande* Torrance Memorial Medical Center* San Mateo Sequoia Hospital* Whittier Hospital Medical Center Santa Clara El Camino Hospital Marin Marin General Hospital* El Camino Hospital Los Gatos Nevada Hospital referral is dependent on physician admitting Good Samaritan Hospital privileges of each participating physician. O’Connor Hospital Orange Hoag Hospital Irvine* Regional Medical Center of San Jose Hoag Memorial Hospital Presbyterian* Saint Louise Regional Hospital Hoag Orthopedic Institute* Santa Cruz Dominican Santa Cruz Hospital* Mission Hospital Laguna Beach* Watsonville Community Hospital Mission Hospital Regional Medical Center* Solano Woodland Memorial Hospital* St. Joseph Hospital* Stanislaus Doctors Hospital Manteca St. Jude Medical Center* Doctors Medical Center Placer Mercy General Hospital* Emmanuel Medical Center Mercy Hospital of Folsom* Tulare Bakersfield Memorial Hospital* Mercy San Juan Hospital* Mercy Hospital Bakersfield* Methodist Hospital of Sacramento* Ventura Community Memoral Hospital of San Buenaventura Riverside Corona Regional Medical Center Ojai Valley Community Hospital Loma Linda University Medical Center (Murrieta) Santa Paula Hospital Menifee Valley Medical Center Yolo Woodland Memorial Hospital* Parkview Community Hospital Medical Center

Enrolled employees and all their dependents must live or work in the Trio HMO plan service area to be eligible for coverage. The Trio ACO HMO Network* consists of the following ZIP codes within these 24 counties: these within codes ZIP following of the consists Trio ACOThe Network* HMO * Yolo 93099. and 93094 93066, 93065, 93064, 93061, 93060, 93063, 93062, 93044, 93041, 93043, 93040, 93042, 93036, 93035, 93034, 93031, 93033, 93030, 93032, 93024, 93021, 93023, 93020, 93022, Ventura Tulare 95397. and 95387 95386, 95382, 95381, 95380, 95368, Stanislaus Solano CruzSanta County Santa Clara County County Mateo San 93432 San Luis Obispo County Joaquin San San Francisco County 92171, 92172, 92173, 92174, 92175,92139, 92176, 92140, 92177, 92142, 92143, 92145, 92178, 92147, 92179,92114, 92149, 92182, 92186, 92115, 92150, 92187, 92152, 92116, 92153, 92190, 92154, 92191, 92117, 92091, 92155, 92088, 92085, 92084, 92093, 92092, 92096, 92158, 92083, 92082, 92101, 92192, 92159, 92193, 92118, 92102, 92195, 92103, 92160, 92104, 92119, 92196, 92161, 92105, 92106, 92197, 92107, 92163, 92120, 92165, 92121, 9219892051, 92108, 92166, 92057, 92056, 92052, 92109, 92055, and 92054, 92199. 92122, 92059, 92167, 92058, 92110, 92123, 92060, 92061, 92124, 92065, 92067, 92064, 92168, 92111, 92126, 92069, 92068, 92169, 92071, 92127, 92072, 92112, 92170, 92074,92014, 92128, 92075, 92129, 92078, 92113, 92018, 92079, 92081, 92019, 92130, 92131, 92020, 92021, 92132, 92134, 92022,91942, 92135, 92023, 91943, 92024, 92136, 91944, 92025, 91945, 92137, 92026, 91946, 92027, 91948, 91950, 92138, 91951, 92028, 92029, 91962, 92030, 91963, 92033, Diego 92036, 91976,San 92037, 91977, 92038, 91978, 92039, 91979, 92011, 92010, 92009, 92040, 92046, 92013, 91980, 91987, 92049, 92007, 92008, 92003, 92413, 92415, 92418, 92423 and 92427. 92378, 92391, 92386, 92385, 92382, 92392, 92393, 92394, 92395, 92397, 92399, 92401, 92405, 92404, 92406, 92403, 92402, 92407, 92410,92341, 92408, 92352, 92350, 92346, 92356, 92357, 92354, 92345, 92342, 92411, 92344, 95899. 92359, 92358, and 92368, 92369, 95894 95867, 92371, 95866, 92372, 92373, 95865, 92374, 92375, 95864, 92307, 92376, 92313, 92308, 92377, 95860, 92314, 95853, 92315, 92316, 95852, 95851, 92317, 95843, San 92318, Bernardino 95842, 95841, 92321, 92322, 92324, 92325, 95840, 92329, 92331, 92336, 95838, 92337, 92335, 92334, 92333, 95837, 92339, 95831, 95836, 92340, 94280, 95830, 95835, 95829, 94279, 95834, 95828, 95827, 95759, 94278, 95741, 95757, 95758, 95833, 95742, 95826, 95693, 94277, 95832, 95825, 95683, 94274, 95673, 95824, 95671, 95670, 94273, 95823, 95662, 94271, 95822, 95660, 95821, 94269, 95817, 95819, 95655, 95816, 95820, 95815, 95818, 95814, 95811, 95652, 95813, 94268, 95812, 95763, 95639, 94267, 95638, 94263, 95632, 95630, 94262, 95628, 94261, 95626, 94259, 95624, 95621, 94258, 94257, 94256, 94287, 94286, 94285, 94289, 94284, 94254, 94288, 94291, 94283, 94290, 94282, 94294, 94293, 94295, 94296, 94297, 94252, 95609, 94299, 95610, 94298, 95608, 95611, 94250, 95615, 94249, 94248, Sacramento 92881,92880, and 92883. 92882 92570, 92571, 92572, 92581, 92586, 92587, 92585, 92584, 92582, 92583, 92589, 92590, 92591, 92592, 92593, 92595, 92596,92519, 92599, 92860, 92877, 92521, 92878, 92522, 92531, 92530, 92879, 92551, 92548, 92546, 92545, 92544, 92532, 92543, 92552, 92555, 92556, 92554, 92553, 92557, 92562, 92563, 92564, 92567, Riverside Placer Orange County Nevada 94947 Marin 91124, 91123, 91501, 91499, 91788, 91121, 91496, 91789, 91790, 91495, 91791, 91118, 91482, 91792, 91117, 91793, 91801, 91470, 91896, 91804, 91803, 91802, 91899, 93563. 91116, 93510 and 91436, 91744, 91745, 91401, 91426, 91115, 91746, 91396, 91747, 91423, 91395, 91356, 91114, 91416, 91394, 91413, 91748, 91355, 91411, 91412, 91749, 91393, 91110, 91410, 91611, 91354, 9, 91392, 91409, 91750, 91754, 91353, 91390, 91612, 9110 91755, 91387, 91756, 91408, 91352, 91614, 91765, 8, 91407, 91351, 91386, 91766, 91615, 91767, 91406, 91350, 9110 91385, 91616,91502, 91503, 91504, 91505, 91506, 91507, 91346, 91617, 91405, 91768, 91384, 91107, 91327, 91510, 91508, 91769, 91345, 91521, 91326, 91383, 91404, 91618, 91770, 91522, 91523, 91771, 91344, 91325, 91526, 91702, 91382, 91106, 91601, 91403, 91706, 91381, 91772, 91711, 91324, 91773, 91602, 91343, 5, 91603, 91604, 91775, 91605, 91606,91402, 91607, 91380, 91776, 91322, 91714, 91342, 91376, 91321, 9110 91778, 91341, 91608, 91609, 91316, 91780, 91715, 91311, 91372, 91313, 91610, 91371, 4, 91310, 91367, 91716, 91340, 91337, 91309, 91722, 9110 91365, 91723, 91724, 91335, 91308, 91731, 3, 91364, 91307, 91357, 91334, 91732, 91733, 9110 91306, 91734, 91222, 91333, 91735, 91740, 2, 91331, 91221, 91305, 91214, 91741, 91210, 91330, 9110 91304, 91209, 91329, 91303, 91328, 91208, 91101, 91207, 91302, 91206, 91301, 91077, 91205, 91226, 91204, 91225, 91224, 91203, 91066, 91202, 91199, 91201, 91189, 46, 91188, 91185, 91184 Please note that the Trio ACO HMO Network is subject to change. to subject is Network HMO ACO Trio the that note Please : : , 95605, 95606, 95607, 95612, 95616, 95617, 95618, 95627, 95637, 95645, 95653, 95691, 95694, 95695, 95697, 95698, 95776, 95798, 95799 and 95937. and 95799 95798, 95776, 95697, 95698, 95695, 95694, 95691, 95653, 95617, 95616, 95612, 95607, 95645, 95637, 95627, 95618, 95606, 95605, 93203, 93205, 93206, 93215, 93206, 93205, 93203, 93216, 93241, 93240, 93226, 93225, 93224, 93220, 93251, 93250, 93276, 93252, 93268, 93263, 93255, 93285, 93283, 93280, : 94901 : : , 94948 : : 93219, 93260. and 93256 93433 95602, 95603, 95604, 95648, 95650, 95658, 95661, 95663, 95677, 95678, 95713, 95746, 95747 and 95765. 95747 and 95746, 95713, 95678, 95677, 95663, 95661, 95658, 95650, 95648, 95604, 95603, 95602, : 94503, 94510, 95620. 94589,94503, and 94592 : 91319, 91320, 91358, 91359, 91360, 91361, 91362, 91377, 93001, 93002, 93003, 93004, 93005, 93006, 93007, 93009, 93010, 93011, 93010, 91319, 93007, 93009, 93012, 93015, 93016, 93006, 91320, 91358, 91359, 93005, 91360, 91361, 93004, 91362, 93003, 91377, 93002, 93001, : 95712, 95924, 95945, 95946, 95949, 95959, 95960, 95975, and 95986 and 95975, 95949, 95959, 95960, 95946, 95945, 95924, 95712,

: : 91752, 92320, 92501, 92230, 92223, 92220, 92507, 92506, 92505, 92504, 92503, 92502, 92509, 92508, 92513, 92514, 92515, 92516, 92517, 92518, County : 95664, 95672, 95682 and 95762. and 95682 95672, 95664, 95307, 95313, 95316, 95319, 95323, 95326, 95328, 95329, 95350, 95351, 95352, 95353, 95354, 95355, 95356, 95357, 95358, 95361, 95363, 95367, 91901, 91902, 91903, 91905, 91906, 91908, 91909, 91910, 91911, 91912, 91913, 91914, 91915, 91916, 91917, 91921, 91931, 91932, 91933, 91935, 91941, 91941, 91935, 91933, 91932, 91931, 91917, 91921, 91916, 91915, 91914, 91913, 91911, 91912, 91910, 91909, 91908, 91906, 91905, 91903, 91902, 91901, , : , : 94949 , 93435, , 93435, 90001, 90002, 90003, 90004, 90005, 90006, 90007, 90008, 90009, 90010, 90011, 90012, 90013, 90014, 90015, 90016, 90017, 90018, 90019,

94903 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234, 94235, 94236, 94237, 94239, 94240, 94244, 94245, 94247, 94247, 94245, 94244, 94240, 94239, 94237, 94236, 94235, 94234, 94232, 94230, 94229, 94211, 94209, 94208, 94207, 94206, 94205, 94204, 94203, County : includes all ZIP codes. codes. ZIP all includes : 93401 : 91701, 91708, 91709, 91710, 91729, 91730, 91737, 91739, 91743, 91758, 91759, 91761, 91762, 91763, 91764, 91784, 91785, 91786, 92301, 92305,

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Blue Shield of California is an independent member of the Blue Shield Association A48942 (6/18)