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Blue Shield of California Member Experience

Blue Shield of California is a not-for-profit health insurance provider based in San Francisco with over 4 million members across California. A massive organization bogged down in process, they were struggling to keep up with healthcare disruptors and emerging digital innovations.

The First Challenge

Despite the need for a digital overhaul, Blue Shield was nearing their annual enrollment period and we couldn't risk blowing up their site. To mitigate this, we did extensive research into the site's existing capabilities and launched a re-skinned responsive experience, as well as iOS and Android apps, all within the technical confines of Blue Shield's backend services.

The project was broken into sprints to redesign the core member experiences including Login, Find a Doctor, Claims, Benefits, My Plan, ID Card, Dashboard and Profile. I lead a four person UX team to develop the navigation system, page layouts and overall digital strategy for both the responsive website and native mobile apps. Deliverables included extensive wireframes, annotations, user flows and prototypes.

Login User Flow

Excerpts from the Navigation Strategy

Wireframe and Annotation Samples

Blue Shield Redesign

The Blue Shield of California redesign is leaps and bounds beyond their previous digital experience. A reorganized navigation and intuitive user experience helps customers easily manage their plan, track their claims, find benefits or get urgent care, and the redesigned prospect experience incorporates Blue Shield's new brand positioning, more effectively driving new customers to find a plan that best suites their needs.

The Next Challenge

Benefits is one of the most visited sections of the site as it is where Blue Shield members can see what they're covered for. Unfortunately, because of how the backend data was structured, Benefits remained confusing and overwhelming, even with the help of the redesign. Blue Shield needed a vision of how to optimize their Benefits experience going forward.

Benefits Vision Strategy

Working closely with a Designer and Strategist, I researched members, competitors and best in class digital experiences to help develop our strategy. To illustrate how the Benefits experience could evolve, we determined short, medium and long term solutions based on a scenario for our established member persona, which I storyboarded, sketched and wire-framed to illustrate our concepts.

Short Term Benefits Vision

The immediate vision layers on top of the existing experience to provide easy access to a curated list of benefits associated with the most frequently searched conditions. We've also taken a step towards using more human friendly language. While we all agreed this experience was far from ideal, it was a necessary first step in making benefits easier to navigate for users.

Medium Term Benefits Vision

Looking further in the future, we proposed implementing a more robust search, allowing members to find a benefit based on condition, treatment or keyword. We also simplified benefit categorization and grouping, and provided contextual information regarding claims, doctors and member perks.

Long Term Benefits Vision

The long term vision was the ideal benefits experience, simple, human and intelligent, designed based on member needs rather than on antiquated backend services. Along with the design, we proposed a roadmap for our client, illustrating how incremental optimizations could eventually get the Blue Shield benefit experience to our ambitious long term vision.