Welcome to ConcertoCare Blue Shield of California

For Eligible Members of Blue Shield of California

As a Blue Shield of California member, you may be eligible to receive medical care and support services right in your own home and at no cost to you through ConcertoCare. ConcertoCare is an in-home medical provider that delivers additional care support. With them, you can keep your current primary care doctor, specialists, and all the benefits you already have through Blue Shield.

ConcertoCare gives you an extra layer of support through personalized, in-home medical services that will help manage your health. The goal is to give you more time to focus on the people and things you love.

ConcertoCare Services

Regular At-home Check-ups (or somewhere convenient for you)

Acute care in-home visits

24/7/365 Phone Calls, including evenings, weekends, and holidays

Virtual Visits (our teams can help you with this)

Medication Help

Hospital Stay and Aftercare Help

Caregiver Support

Mental health support

And much more...

Your Care Team Includes

Doctors

Physician Assistants

Nurse Practitioners

Nurses

Pharmacists

Social Workers

Mental Health Professionals

Community Health Workers, and more

ConcertoCare also works with your existing doctors and with Blue Shield to make sure your care is seamless. That means we help you spend less of your own time making sure everyone understands your medical needs.

To learn more or schedule your first visit at no cost to you, call us at 888-305-9433 (TTY: 855-247-7540) Monday through Friday, 8 a.m. to 5 p.m. If you call outside normal hours, leave a voicemail and we’ll call you back the next day.

Frequently Asked Questions

Blue Shield has contracted with ConcertoCare to deliver services that support Blue Shield’s vision and commitment to improving its members’ health and well-being. The program is meant to provide Blue Shield members with a new option for easy to access, in-home medical care and services that can help manage their health.

Currently, Blue Shield is, at first, offering the ConcertoCare program to select members. If you are eligible, you would have received a letter in the mail and may have also been contacted by phone. If you are a Blue Shield member who did not receive any outreach, you can still contact us at (888) 305-9433; (855) 247-7540, 8 a.m. to 5 p.m., Monday through Friday to find out if you are eligible.

  1. We schedule your first in-home visit. This will be based on your schedule and needs.
  2. Before your first in-home visit, we call to confirm your appointment and ask some questions. This helps our team plan for the visit and provide you with the best experience possible.
  3. During your first visit, you sign ConcertoCare’s short program agreement. Then we conduct our initial check-up to help us understand your health and needs.
  4. From there, ConcertoCare teams work with you and your regular doctor to develop a personal care plan that will help manage your health and well-being. Examples from a Care Plan could include:
    • Traditional medical care such as a specialist follow-up or help with following a certain medication plan.
    • Fitness plans
    • Coaching sessions
    • Connections to community resources

It looks different for everyone because everything is personalized to your needs. As you continue to participate in the ConcertoCare program, you will have access to a whole team dedicated to you. This includes regular in-home checkups, acute care visits, phone access to our team, and so much more.

If you are eligible and decide you want to join the ConcertoCare program, call us at 888-305-9433 (TTY: 855-247-7540). We take care of the rest in an easy three-step process:

From there, our teams work with you and your regular doctor to develop a detailed personal Care Plan that lays out what’s needed to manage your health and well-being. This could be anything from “traditional” medical care such as recommendations to see a specialist or help with following a certain medication regimen, to other supports like fitness recommendations, coaching sessions, or connections to community resources we think you would benefit from. Everything is personalized to you.

As long as you remain a member of the ConcertoCare program, you will have access to a whole team dedicated to your health and well-being, including regular in-home checkups, urgent visits, 24/7/365 phone access to our team, and so much more.

If you are healthy, there is still a benefit of enrolling in ConcertoCare today, because it is an investment in your future and your peace of mind. With just a short initial in-home visit, you will get to know a team who personally understands your health. If there is a change to your health, the care team is on call to help you when you need them. You will be able to call a provider who already knows you, and who is available. Someone will come to your home, and there are no bills to deal with after the visit. As a reminder, there is no cost to you for joining the program, now or ever.

ConcertoCare is a completely optional program that is offered as an “add-on” to everything you already have access to as a Blue Shield member. Joining the program does not change your normal doctor, and it does not change any of your other existing benefits or services. If you decide to try the program and it isn’t right for you, that’s okay. Your plan will not change, and there will be no additional paperwork.

ConcertoCare is a completely optional program that is offered as an “add-on” to everything you already have access to as a Blue Shield member. Joining the program does not change your normal doctor, and it does not change any of your other existing benefits or services.

If you decide to try the program and it isn’t right for you, that’s okay. Your plan will not change, and there will be no additional paperwork.

For Providers Who Serve Members of Blue Shield of California

What is ConcertoCare?

ConcertoCare is an in-home provider of medical and care coordination services. We have been engaged by Blue Shield of California to help manage the care of a portion of its members. ConcertoCare does not replace the care that you deliver as a primary care provider or specialist. Instead, our services are intended to help you manage the health of your Blue Shield patient panel by augmenting the care you provide as part of your existing physician-to-patient relationships.

Our multidisciplinary teams work with you and your staff to:

  • Help jointly develop and manage care plans for your patients that encompass the full range of their medical, pharmacy, behavioral, and social needs.
  • Help your patients with day-to-day activities that allow them to manage their health in between their visits with you – things like making sure they understand and consistently take their medications, supporting them in self-managing their conditions and knowing when to seek additional care, helping them arrange transportation to medical visits, and more
  • Help you stay on top of when your patients need your attention – for example, when they have a sudden change in health status or have an acute visit.
  • Help your patients connect with and make use of additional community resources they can benefit from.

What Does Collaborating with ConcertoCare Look Like?

ConcertoCare's teams are here to work with you in service of your patients. Knowing that every practice is unique, we are flexible in our approach to working with you and your team. We can communicate with your practice in whatever way is most seamless – including phone, fax, or EHR-based information sharing. Collaboration includes:

Pre-visit communications

Whenever a patient opts into the program and prior to our first visit with them, ConcertoCare will contact the patient’s primary care provider, inform them of our intent to engage with a patient in their practice, and request medical records for pre-visit preparation.

Post-visit communications

Immediately following all home visits, our teams fax documentation and treatment plans with patients' PCPs and as applicable, key specialists, and work to align on the patient's care plan. We also work to coordinate identified patient needs such as orders, referrals, or prescriptions.

Contact ConcertoCare

If you are a provider and want to connect directly with ConcertoCare's team in California, contact us today

(888) 305-9433 (855) 247-7540 blueshieldofcalifornia@concertocare.com

Blue Shield of California is an independent member of the Blue Shield Association. ConcertoCare is independent of Blue Shield of California and is contracted by Blue Shield to provide in-home and virtual care services.

This is a program for certain eligible Blue Shield of California members. Eligible members will receive a letter inviting them to participate. Eligibility is determined based on health status and needs.

For Blue Shield Commercial plans: ConcertoCare is independent of Blue Shield of California and is contracted by Blue Shield to provide in-home and virtual care services. These services are not covered benefits of Blue Shield health plans and none of the terms or conditions of Blue Shield health plans apply. Members who are not satisfied with products or services received from ConcertoCare may use Blue Shield's grievance process described in the Grievance Process section of the Evidence of Coverage or Certificate of Insurance/Policy. Blue Shield reserves the right to terminate this program at any time without notice.

For Blue Shield Medicare plans: The products and services described are neither offered nor guaranteed under Blue Shield of California’s contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Blue Shield grievance process. Should a problem arise with any value-added item or service, please call Customer Service at the number on the back of your Blue Shield ID card.