Blue Shield of California Termination of Meritage Medical Network Providers FAQ
Why did Blue Shield of California terminate its relationship with Meritage Medical Network?
In January 2025, the Department of Managed Healthcare (DMHC) issued a cease-and-desist order that prevents health plans from adding any new members to Meritage Medical Network and its contracted health plans due to the medical group’s financial solvency. Blue Shield notified Meritage Medical Network that their current agreement will terminate no later than April 30th, 2025, if the financial situation is unresolved. Blue Shield must ensure their network providers are financially secure. Unfortunately, Blue Shield had to terminate their network contract with Meritage Medical Network.
I am in the middle of treatment and need to receive care. What can I do to continue my care?
There is a continuation of covered services known as “Continuity of Care”, or “CoC” protocols for members in ongoing treatment. Members already in a course of care will not experience immediate disruption as per the CoC protocols. To request continuation of covered services, members should call (800) 393-6130 (TTY: 711) or the Customer Service number on their Blue Shield member ID card to determine eligibility or to request continuation of covered services for an ongoing course of treatment with a non-contracted physician.
Who do I contact for support during this Meritage transition?
Brown & Toland Customer Service is available Monday through Thursday, between 8 a.m. and 5 p.m., and on Friday between 9 a.m. and 5 p.m. at 1-800-225-5637.
Members with questions should call the phone number on the back of their ID card or found in the Blue Shield App.
My primary care physician (PCP) was with Meritage Medical Network. What happens to me now?
Most members with a Meritage PCP have been moved to Brown & Toland, and they are working to communicate with existing PCPs to resolve closed panels and help address capacity issues. Brown & Toland is actively pursuing additional PCPs to support the influx of new patients.
What if the new PCP I’ve been assigned to doesn’t have any appointments for a long time, or I don’t like my new PCP?
- Brown & Toland is in the process of initiating outreach efforts to all newly assigned members and will ensure that member care is not interrupted. The following actions are taking place:
- Confirming that the member is comfortable with their PCP assignment.
- Providing alternate options for reassignment, if desired.
- Facilitating scheduling, if a visit is needed, with their existing or newly assigned PCP.
What if I need care right away?
- Brown & Toland can provide other services or support, including:
- Virtual urgent care or in-person urgent care is accessible at these centers: After Hours and Urgent Care - Brown & Toland Physicians
- Complex member care services. Brown & Toland has Care Champions that can be reached at 1-888-258-2474. Additional information can also be found here: Care Champions - Brown & Toland Physicians