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New to Okta

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  1. Home
  2. Health + Wellness
  3. Blue Shield Medical

Blue Shield Medical

The takeaway

There are three Blue Shield plans to choose from:

  • Blue Shield HDHP + HSA plan
  • PPO plan
  • EPO plan

The plans cover the same types of healthcare services and supplies, but have different plan design features, such as copays, coinsurance, deductible amounts, and other out-of-pocket costs. To determine which plan best meets your and your family’s needs, consider the plan design features that are important to you, review your cost when you access services, and know your share of costs from your paycheck. Also, all the Blue Shield plans include coverage for virtual visits. View a comparison chart to see a side-by-side view of all Blue Shield medical plans.

A Rightway personal Navigator can also explain your options during your enrollment period and help you with important medical decisions and issues as you need healthcare services during the year.

Finding a Blue Shield providerBlue Shield HDHP + HSA planBlue Shield PPO planBlue Shield EPO planVirtual VisitsBlue Shield Total Health & Wellness ProgramMaternity careBlue Shield Administrative Services Only (ASO)
Finding a Blue Shield providerBlue Shield HDHP + HSA planBlue Shield PPO planBlue Shield EPO planVirtual VisitsBlue Shield Total Health & Wellness ProgramMaternity careBlue Shield Administrative Services Only (ASO)

Note: Some links on this page go to Okta Box documents which are for Okta employees and can only be accessed with an Okta account.

Finding a Blue Shield provider

Need to confirm your current doctor’s affiliation with Blue Shield? Find a network specialist or hospital? An urgent care center? Chances are your current providers are in the Blue Shield network.

  • California employees have access to Blue Shield’s “Full PPO and Full PPO Savings” network.
  • Outside of California, employees use providers in the BlueCard network, which links local Blue plans across the United States and abroad.

Get help in finding a provider or confirming that your provider—including your regular doctor, specialists, hospital, and local urgent care center—is part of the Blue Shield network:

  • Visit the Blue Shield website (created especially for Okta employees) to connect with a virtual assistant that can help you.
  • Choose Find a Doctor and a chat box will appear. Your virtual assistant will ask for your ZIP code and address. Answer any additional questions and your virtual assistant will provide you with a list of providers based on your answers.

To find a provider:

  • Go to BlueCard’s website.
  • Make your selection based on the type of doctor or facility you're looking for. 
  • Log in or continue as a guest. Enter your Zip code.
  • Follow the prompts based on your location.
  • When you are asked to find your plan by prefix, enter OTX.

For more information, follow the steps outlined in this guide or call Blue Shield at 855-599-2650 if you need help.

Using the mobile app? View the mobile app flyer to get started.

 

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Get all the plan coverage details through a special Blue Shield website—just for Okta’s employees.

Get details now

Do the math

With Okta’s HSA contribution, the plan’s lower paycheck contributions, access to one of the largest provider networks in the country, and 100% coverage after you meet the plan deductible, this may be the right plan for you.

Blue Shield HDHP + HSA plan

The Blue Shield HDHP + HSA plan is one of Okta’s best-value medical plans for most employees.

It has two parts: a high deductible, HSA-compatible medical plan and a tax-advantaged health savings account.

This plan may be right for you if:

  1. You want a low per-paycheck deduction—even if it means you have to meet a higher deductible.
  2. You rarely need to see a doctor; an annual checkup is usually it for the year.
  3. You feel comfortable paying for a large health expense that costs almost as much as your deductible.
  4. You want the opportunity to accumulate savings and to invest and take part in the plan’s triple tax advantage for future healthcare expenses.
  5. You plan to use network providers for your care, but like having the option to go out of the network.

Here’s how it works:

Paycheck costs

  • Amounts deducted from your paycheck are lower than other options.
  • Employee-only coverage is 100% paid for by Okta.

Health savings account

  • In 2023, Okta will maintain its annual HSA contributions for employees: up to $800 for employee-only coverage and up to $1,600 if you cover one or more family members.
  • You can contribute your own money to your HSA, too.
  • Use your HSA funds to pay for healthcare expenses—including your annual deductible.

Doctors and other healthcare providers

  • Go to any provider, but you pay less when you use Blue Shield or BlueCard network providers. (These are doctors, hospitals, therapists, and other healthcare providers who have contracted with Blue Shield to furnish services and supplies for a negotiated charge.)

Cost sharing between you and the plan

  • You pay $0 for in-network preventive care and prescription drugs that qualify as preventive care.
  • For all other care, you must meet the annual deductible before the plan cost sharing begins.
  • The in-network annual deductible is $2,800 for an individual and $5,600 for families.
  • Once you hit the annual deductible, the plan pays 100% of eligible in-network medical expenses.

For prescription drugs, you pay these copays after you satisfy the annual deductible:

In-network retail pharmacy

  • $10 for tier 1 generic
  • $25 for tier 2 formulary
  • $40 for tier 3 non-formulary
  • 30% up to $200 for tier 4 specialty formulary

Mail service

  • $20 for tier 1 generic
  • $50 for tier 2 formulary
  • $80 for tier 3 non-formulary
  • 30% up to $400 for tier 4 specialty formulary

See the prescription drug formulary list.
Learn about Blue Shield’s pharmacy networks tiers.
See the preventive health drugs covered at no cost to you.

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Blue Shield PPO plan

With the PPO plan, you may go to any provider, but you pay less when you use Blue Shield or BlueCard network providers.

This plan may be right for you if:

  1. You and your family are frequent users of medical care.
  2. You want a lower cost when you receive care—even if it means you pay more per paycheck.
  3. You mostly use network providers, but you would like to have access to out-of-network providers in certain circumstances. 

Here’s how it works:

Paycheck costs

  • The PPO plan has a higher monthly paycheck contribution because it offers the most choice of providers with a lower deductible.

Doctors and other healthcare providers

  • Go to any provider, but you pay less when you use Blue Shield or BlueCard network providers.

Cost sharing between you and the plan

  • You pay $0 for eligible preventive care and prescription drugs that qualify as preventive care.
  • For all other care, you must meet the annual deductible before the plan pays benefits.
  • In-network annual deductible:
    • $500 for an individual and $1,500 for families 
  • Out-of-network deductible:
    • $1,500 for an individual and $4,500 for families
  • Once you reach the annual deductible, you pay copays for some eligible in-network services and coinsurance for others.

In-network copays for frequently used services

  • $150 for emergency room visits (waived if you’re admitted to the hospital from the emergency room)
  • 10% coinsurance for inpatient hospital stays

You pay these copays for prescription drugs:

In-network retail pharmacy

  • $10 for tier 1 generic
  • $20 for tier 2 formulary
  • $40 for tier 3 non-formulary
  • 30% up to $200 for tier 4 specialty formulary

Mail service

  • $20 for tier 1 generic
  • $40 for tier 2 formulary
  • $80 for tier 3 non-formulary
  • 30% up to $400 for tier 4 specialty formulary

See the prescription drug formulary list.
Learn about Blue Shield’s pharmacy networks tiers.
See the preventive health drugs covered at no cost to you.

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Blue Shield EPO plan

With the EPO plan, you must use in-network providers – if you go out-of-network, the plan will not cover your services. The EPO plan uses the same network of providers as our current Blue Shield/BlueCard plans, which gives you access to a wide range of providers throughout the U.S.

This plan may be right for you if:

  1. You only use providers in the Blue Shield/BlueCard network.
  2. You prefer to pay a fixed cost at the time you need care.
  3. You’re not required to meet a deductible.

Here’s how it works:

Paycheck costs

  • This plan has a higher monthly paycheck cost because you pay less when you use healthcare services.

Doctors and other healthcare providers

  • You must use Blue Shield or BlueCard network providers.

Cost sharing between you and the plan

  • You pay $0 for eligible preventive care and prescription drugs that qualify as preventive care.
  • There is no deductible.
  • You pay copays for eligible in-network services.
  • There is no coverage for services received from out-of-network providers.

In-network copays/coinsurance for frequently used services

  • $15 for doctor office visits and specialist office visits
  • $100 for emergency room visits (waived if you’re admitted to the hospital from the emergency room)
  • $250 copay per admission for inpatient hospital stays

For prescription drugs, you pay these copays:

In-network retail pharmacy

  • $10 for tier 1 generic
  • $20 for tier 2 formulary
  • $40 for tier 3 non-formulary
  • 30% up to $200 for tier 4 specialty formulary

Mail service

  • $10 for tier 1 generic
  • $40 for tier 2 formulary
  • $80 for tier 3 non-formulary
  • 30% up to $400 for tier 4 specialty formulary

See the prescription drug formulary list.
Learn about Blue Shield’s pharmacy networks tiers.
See the preventive health drugs covered at no cost to you.

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Virtual Visits

Blue Shield offers virtual visits—also known as telemedicine—so you can use your phone, tablet, or computer to immediately connect with a medical professional.

Teladoc

  • Get 24/7 access to board-certified doctors, available by video and by phone at 800-Teladoc (835-2362)
  • Also, go to Blue Shield’s Teladoc site for details.

NurseHelp

  • Talk with a registered nurse, 24/7, 877-304-0504.
  • Also, go to Blue Shield’s NurseHelp site for more information.

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Blue Shield Total Health & Wellness Program

Get more details on the wellness program website.

The site includes:

  • Lifestyle programs
  • Virtual consult solutions
  • Preventive health guidelines
  • Well-being discounts
  • Mental health resources

Total Health and Wellness Brochure

If you’re unable to attend a webinar, the recording will be placed online in approximately 2 to 3 weeks.  

To access previously recorded Magellan webinars at no additional cost:

  • Go to lifereferrals.com
  • For BSC members the code is: BSC
  • Click the Member Services tab
  • Click On Demand Learning – there you’ll see a library of recordings
     

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Maternity care

Get digital and virtual support for your pregnancy and postpartum needs. Maven is a program designed to support you and your partner during pregnancy, postpartum, and returning to work. You can also get support if you have experienced a pregnancy loss. Learn more about Maven maternity care.

Blue Shield Administrative Services Only (ASO)

You may see or hear the term "ASO" when reviewing your benefits in your Blue Shield member portal or when speaking to a Blue Shield representative. Administrative Services Only (ASO) is related to Okta's contractual set up with Blue Shield on the backend. This does not impact your plan enrollment or eligibility for Okta benefits. The best way to verify your Okta plan enrollment is by reviewing your benefit elections in Workday. You can also view detailed plan coverage summaries and benefit documents on the Documents and Forms page.

Related Content
Kaiser Medical
Rightway Healthcare
Rightway Healthcare
Documents and Forms

Welcome!

Okta’s total rewards connect eligible employees and their family members to a constantly evolving portfolio of plans, services, and support for meeting their changing needs. Check out the links below to learn more and make the most of your total rewards.

Learn more about Okta

Contacts

Blue Shield

Medical plans
Plan/Group Number
W0069793
855-599-2650
Website
Find a provider – California
Find a provider – outside of California

Blue Shield

Teladoc (24/7)
800-Teladoc (835-2362)
Website

Blue Shield

NurseHelp (24/7)
877-304-0504
Website

One Medical - Concierge Medical Office

(Not offered for Kaiser plan members)
Website

Register with company code OKTXOM

  • Eligibility + Enrollment
    • Eligibility
    • Enrolling and Making Benefits Decisions
    • Making Changes to Your Benefits
  • Health + Wellness
    • Mental Health Support (Modern Health)
    • Kaiser Medical
    • HMSA (HI employees only)
    • Blue Shield Medical
    • Health Savings Account (HSA)
    • Healthcare Plan Premiums
    • Rightway Healthcare
    • One Medical
    • Dental
    • Vision
    • Wellness Programs
    • OktaFIT
    • Healthcare Glossary
  • Financial Benefits
    • Gradifi Student Loans
    • 401(k) Plan
    • Northstar Financial Wellness
    • Flexible Spending Account (FSA)
    • HSA, FSA, & Commuter Benefits Transition
    • Commuter Benefits
    • Life/AD&D Insurance
    • Disability Coverage
    • Business Travel Accident Insurance
    • Personal Travel Assistance
    • Auto and Home Insurance
    • Pet Insurance
  • Community
    • Okta People First Culture
    • The Way We Work (Dynamic Work)
    • Our Culture of Recognition
    • Diversity, Inclusion + Belonging
    • Okta for Good
  • Career
    • New to Okta
    • Learning and Development
    • Job Opportunities
    • Your Performance
    • Leaving Okta
  • Pay + Incentives
    • Pay + Incentives Overview
    • Base Pay
    • Cash Incentive Bonus Program
    • Long-Term Incentives (RSUs)
    • Employee Stock Purchase Plan
  • Time Off
    • Flexible PTO
    • Parental Leave
    • Personal Leave
    • Medical Leave
    • Other Leaves
    • Volunteer Time Off
    • Holidays
  • Everyday Living
    • Carrot Fertility and Adoption Services
    • Caregiver Resources
    • Bump Boxes
    • Identity Theft
    • Legal Assistance
    • Cell Phone/Internet Reimbursement
  • Resources
    • Who to Contact
    • Mobile Apps
    • Videos
    • Documents and Forms
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