A health plan that offers individual, Medicare, Medi-Cal and employer health coverage in California.

$493.0M

paid by San Francisco in FY2025

Mostly for: B Flex medical – claims paid, paid by the Health Service System · 2nd of 36 health care providers and health plans by payments in FY2025

One of 6,654 payees in FY2025 · $16.8B paid

Year by year, FY2013–FY2026

$8.6M in FY2013 · $628.8M in FY2026

Click a year to see its amount.

Payments in FY2025

B Flex medical – claims paiddebt, benefits, taxes or payments to governments$262.4M B Flex – claims paiddebt, benefits, taxes or payments to governments$98.7M B Flex medical – capitationdebt, benefits, taxes or payments to governments$87.2M Health plan providersdebt, benefits, taxes or payments to governments$48.7M Other professional services$20.1M

Paid from, FY2025

The fund tells which City account paid. Enterprise funds (Airport, Muni, Water…) are mostly paid from their own fees, fares and rents; the General Fund is mostly local taxes. The fund does not say where the money first came from.

Pension and employee benefit trust fund100%$493.0M

General Fund · operating<1%$505

Next health care or health planRegents of the University of California3rd of 36 health care providers and health plans by payments in FY2025$311.1M

Source: SF Controller, payments to vendors and supplier contracts.

Blue Shield of California

Year by year, FY2013–FY2026

Payments in FY2025

Paid from, FY2025

See also