|
Personal Choice
Group:
Quotes:
If you
prefer, you may call toll free (888)671-2639 to speak to an agent.
For an Enrollment Application...Click
Here
|
|
Personal Choice Group...
|
Personal Choice®, our popular Preferred Provider Organization (PPO), lets members
choose their own providers from a network of quality doctors and hospitals known as the
Personal Choice Network. When members use a Personal Choice Network doctor or hospital,
there is very little to pay out-of-pocket. Additional advantages are no claim forms and no
balance bills.
With Personal Choice, you can also choose to use a doctor or hospital that is not in
the Personal Choice Network, however, you'll pay more for these services and will have to
submit your claim for reimbursement.
- Freedom to seek care in-network or out-of-network
- No need to select a primary care physician to coordinate your care
- Members are free to visit specialists directly — no referrals are required
- Thousands of carefully selected doctors and specialists in the Personal Choice Network.
Healthy Lifestyles wellness programs included — at no additional cost Special
Connections Programs
- Worldwide coverage and recognition of the Blue Cross® symbol
- Preventive care for children and adults
- BlueCard® PPO Program - Personal Choice members can enjoy in-network coverage anywhere
in the United States when they use Blue Cross® and/or Blue Shield® providers that
participate in BlueCard PPO
To learn more about BlueCard PPO or to find a BlueCard PPO
provider anywhere in the United States, click here.
|
SAMPLE
GROUP PLANS
Benefits |
Personal Choice
5 |
Personal Choice
15 |
Personal Choice
10/20/70 |
|
In-Network |
Out-of
Network |
In-Network |
Out-of
Network |
In-Network |
Out-of
Network |
Deductible
Individual/Family |
NONE |
$250/$500 |
NONE |
$250/$500 |
NONE |
$300/$600 |
Out-of-Pocket
Maximum
Individual/Family |
NONE |
$1,000/
$2,000 |
NONE |
$1,000/
$2,000 |
NONE |
$2,000/
$4,000 |
Lifetime Maximum |
Unlimited |
$1Million |
Unlimited |
$1 Million |
Unlimited |
$1 Million |
After Deductible,
Plan Pays |
100% |
80% |
100% |
80% |
100% |
70% |
Doctor's Office
Visit
Primary Care Services
Specialist Services |
$5
$5 |
80%
80% |
$15
$15 |
80%
80% |
$10
$20 |
70%
70% |
Preventive Care |
$5 |
80% |
$15 |
80% |
$10 |
70% |
Maternity Care |
100% |
80% |
100% |
80% |
$10 initial visit |
70% |
Inpatient Hospital |
100% |
80% |
100% |
80% |
$75 per day, up to $375 per admission |
70% |
Outpatient Surgery |
100% |
80% |
100% |
80% |
$75 |
70% |
ER Copayment |
$25 |
$25 |
$25 |
$25 |
$40 |
$40 |
Outpatient
Laboratory |
100% |
80% |
100% |
80% |
100% |
70% |
Outpatient
Radiology |
100% |
80% |
100% |
80% |
$20 |
70% |
Restorative
Services, including chiropractic care |
$10 |
80% |
$15 |
80% |
$20 |
70% |
30
visits per year |
Physical, Speech
and Occupational Therapy |
$10 |
80% |
$15 |
80% |
$15 (vsts 1-30)
$25
(vsts 31-60) |
70%
70% |
60
visits per year |
|
|
