
BCBS Blue Choice PPO is a type of health insurance plan that can help you save money on your healthcare costs. With this plan, you can see any doctor or specialist you want, without a referral.
You can visit any in-network doctor or hospital, and still receive the same benefits as if you were seeing a Blue Cross Blue Shield doctor. This flexibility is a key benefit of the PPO plan.
As a PPO member, you'll have access to a network of healthcare providers, including primary care physicians, specialists, and hospitals. You can also visit out-of-network providers, but you'll need to pay a higher copayment or coinsurance.
By choosing a PPO plan, you can have more control over your healthcare costs and make informed decisions about your care.
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Plan Options
The BCBS Blue Choice PPO plan offers a range of options to suit different business needs. You can choose from various PPO plans, each with its own unique features and benefits.
For small businesses with 51-150 employees, the BCBSIL PPO network is a great option, offering flexible benefit design options at an affordable price. This plan gives employees the freedom to visit any doctor they choose.
One of the key benefits of the Blue Choice Options PPO is its tiered system, which helps manage out-of-pocket costs. There are three tiers to consider:
For businesses of all sizes, the Blue Options & Blue Options Select PPO is a great option, offering the widest choice of networked doctors and hospitals at a lower cost than standard PPO plans. This plan is ideal for businesses that want to support their clients' cost-savings strategies.
The Blue Choice PPO plan is a great choice for businesses that prioritize provider choice. With a large PPO network accepted by 100% of hospitals and 95% of doctors in Michigan, employees have access to a wide range of healthcare providers.
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Network and Care
With Blue Choice PPO, you have access to a vast network of healthcare providers. You can choose from a wide range of doctors and hospitals in your area, including specialists and primary care physicians.
The plan covers a variety of services, including preventive care, doctor office visits, and hospital services. You can also get maternity services, outpatient surgery, and diagnostic testing, all within your network.
Your primary care physician is an important part of your healthcare team. You don't need to see a PCP first, but it's recommended to have one for yourself and your dependents. You can change your PCP at any time if needed.
To get the best value, see a doctor in your network. If you have a deductible, you'll pay 100% of the negotiated rate until you reach the deductible limit. After that, you'll pay a certain percentage of costs, or coinsurance, for covered services.
You'll also have a limit to how much you have to spend out of your pocket each year before Blue Shield begins paying 100% for most covered medical services. This is called your plan's out-of-pocket maximum.
Here are some key benefits of having a PPO network:
- 5-9% lower total cost of care compared to competitors
- Access to 95% of doctors and 100% of hospitals in Michigan
- Nationally, access to 95% of doctors and 96% of hospitals
Paying for Care from Network Providers
With a Blue Shield PPO plan, you'll want to take advantage of the benefits that come with seeing a doctor in your network. Your doctor or hospital will bill Blue Shield for most services, and they'll determine what you can be charged based on their negotiated rates.
You'll get the best value when you see a doctor in your network, and your costs will be significantly lower compared to seeing a non-network provider. This is because Blue Shield has negotiated rates with network providers, which means you'll pay less out of pocket.
If you have a deductible, you'll be responsible for paying 100% of the negotiated rate for certain services until you reach the deductible limit. After that, Blue Shield will share most costs with you, and you'll pay a certain percentage of costs for covered services.
There's a limit to how much you have to spend out of your pocket each year before Blue Shield begins paying 100% for most covered medical services. This is called your plan's out-of-pocket maximum.
Here's a quick breakdown of how your costs will be covered with a Blue Shield PPO plan:
- You'll pay 100% of the negotiated rate for certain services until you reach your deductible limit.
- After reaching your deductible limit, you'll pay a certain percentage of costs for covered services (coinsurance).
- Blue Shield will pay the rest of the costs for covered services.
- Once you reach your out-of-pocket maximum, Blue Shield will pay 100% for most covered medical services.
Plan Information
A Blue Cross PPO plan offers flexibility when choosing health care options, giving you the freedom to visit any doctor you choose.
This plan type is best suited for businesses with 51-150 employees.
It's a great option for those who have medical issues and need to see specialty doctors often, as well as those who live in rural areas where PPO plans are often accepted by more doctors.
You can expect a wide range of benefits and a price that fits your budget with a BCBSIL PPO plan.
We offer the largest PPO network in Michigan, which is accepted by 100% of hospitals and 95% of doctors within the state.
Insurance and Group Plans
If you're looking for a flexible benefit design option that won't break the bank, consider the BCBSIL PPO network. It offers a wide range of benefits and the freedom to visit any doctor you choose.
The BCBSIL PPO network is a great choice for small to medium-sized businesses with 51-150 employees. This plan provides a balance of affordability and comprehensive coverage.
With a BCBSIL PPO plan, you can design your benefits to fit your business's unique needs. This flexibility is especially important for growing companies that need to adapt to changing circumstances.
Frequently Asked Questions
What does Blue Choice PPO cover?
Blue Choice PPO covers a range of medical services, including inpatient and outpatient hospital care, surgeries, diagnostic tests, and maternity services. Learn more about the specific benefits and coverage details of Blue Choice PPO.
What is the difference between PPO and PPO choice?
PPO Choice plans offer greater savings and lower out-of-pocket costs, while PPO plans provide more flexibility and convenience with access to more providers. Choose PPO Choice for significant cost savings or PPO for flexibility and convenience.
What does BlueCard PPO mean?
BlueCard PPO refers to a health insurance plan that offers benefits through the BlueCard Program, specifically designed for Preferred Provider Organization (PPO) products. This plan is indicated by a blue suitcase logo on the member's ID card.
Sources
- https://www.bcbsil.com/employer/our-products/product/medical
- https://publicsitesil.hcsc.net/employer/products/blue-choice-options/
- https://www.blueshieldca.com/en/ifp/members/plan-resources/your-ppo-plan
- https://www.bcbsok.com/producer/our-products/group-products/medical
- https://www.bcbsm.com/employers/network-choices/ppo-network/
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