• Medical Plans Overview

Medical Plans

Oxy offers you several options for medical coverage. The plans
are designed to assist you and your covered dependents by
paying a portion of eligible expenses incurred for a wide range
of medical services.

We offer you a choice between four comprehensive medical plans:

  • Kaiser HMO Plan
  • BlueShield Trio HMO Plan
  • BlueShield Access+ HMO Plan
  • BlueShield PPO Plan

Kaiser and BlueShield HMO Plans

The HMO (Health Maintenance Organization) plans offered through Kaiser and Blue Shield require members to select a primary care physician (PCP), a doctor who acts as a “gatekeeper” to direct access to medical services. PCPs are usually internists, pediatricians, family doctors or general practitioners (GPs). Except for a medical emergency, patients need a referral from the PCP in order to see a specialist or other doctor. There is no coverage out of network.

Through Blue Shield you have a choice between two HMO plans – 1) Trio or 2) Access+ HMO. Both plans offer the same benefits; however, the Trio utilizes a smaller network of physicians and is the lower-cost HMO option. Blue Shield Access+ HMO plan utilizes the full network and costs more than the Trio HMO plan.

Make the most of your medical benefits

Kaiser

BlueShield

To check for participating providers within Blue Shield’s network, go to:

BlueShield PPO Plan

The PPO (Preferred Provider Organization) plan provides two tiers of benefits – PPO and out-of-network tiers. At each point of service, you decide the tier of benefits to use.

The PPO plan has an extensive network that allows you to choose a physician from within or outside of the network. For the PPO tier a member is able to access any provider of choice within the PPO network. For the out-of-network tier, any provider can be accessed for service regardless of their contract with Blue Shield.

How to File a Claim

If you have out-of-pocket expenses for covered services, please contact your insurance company at the phone number on the back of your ID card for a claim form and instructions.

Kaiser

You can obtain a claim form by visiting Kaiser’s website at kp.org or by calling Member Services Contact Center at 1-800-464-4000. Send your completed claim form to:
Kaiser Foundation Health Plan, Inc.
Claims Department
P.O. Box 7004
Downey, CA 90242-7004

BlueShield

For medical services, send a completed claim form within one year of the date of service to:
Blue Shield of California
P.O. Box 272540
Chico, CA 95927-2540

Call Blue Shield’s Customer Contact Center at the phone number on the back of your ID card or visit Blue Shield’s website at www.blueshieldca.com to obtain the claim form.

Note: Claims for covered expenses filed more than one year from the
date of service will not be paid unless you can show that it was
not reasonably possible to file your claim within that time limit
and that you filed as soon as was reasonably possible.

Teamsters Benefit Summary

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All Other Employees Medical Benefit Summary

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