
BCBS Preferred Blue PPO insurance options can be overwhelming, especially with the various plans available. BCBS Preferred Blue PPO offers a range of insurance options to fit different needs and budgets.
The BCBS Preferred Blue PPO network includes a large number of healthcare providers, with over 90% of physicians in the US participating. This means you'll have access to a wide range of doctors and specialists.
BCBS Preferred Blue PPO plans often have lower out-of-pocket costs compared to other insurance options. For example, the BCBS Preferred Blue PPO plan has a $1,000 deductible, which is lower than the $2,000 deductible of the BCBS Preferred Blue PPO plan with a higher premium.
Preferred
The BCBSIL PPO network is designed for businesses with 2-50 employees, offering flexible benefit design options at an affordable price.
You'll give your employees a wide range of benefits and the freedom to visit any doctor they choose.
The BCBSIL PPO network is a great option for businesses of this size because it allows for flexibility and choice.
Blue Options is another plan that helps control care and expenses with lower out-of-pocket costs for in-network doctors and hospitals.
With Blue Options, you can also choose to use providers in the larger PPO network at a higher cost, giving you more flexibility in your healthcare decisions.
Plan Details
With BCBS Preferred Blue PPO, you'll have access to a large network of healthcare providers, including over 90,000 primary care physicians and specialists.
You can visit any of these providers without a referral, making it easy to get the care you need.
The plan also offers a wide range of hospital and medical facility options, including many top-ranked hospitals and specialty centers.
Options
When you're looking at your healthcare plan, you'll notice that you have options to choose from. Blue Options is one of them, and it helps you control your care and expenses with lower out-of-pocket costs for in-network doctors and hospitals.
With Blue Options, you can also use providers in the larger PPO network at a higher cost, giving you more flexibility in your care. This can be especially helpful if you have a preferred doctor or hospital that's not in-network, but you still want to see them.
Gold Plans
Gold Plans are a great option for those who need more health care services. You can choose from various plans, including the Blue Choice Preferred Gold Plan 204, which offers $15 primary care and $50 specialist office visit copays.
One of the benefits of Gold Plans is the lower out-of-pocket expenses. This is especially important for families or individuals with multiple health needs.
If you're expecting to have a baby or want to grow your family soon, Gold Plans offer maternity coverage. This includes well-adult care and well-child care, which are essential for the health and well-being of your loved ones.
Gold Plans also cover diagnostic testing and hospital services. This provides peace of mind knowing that you're covered in case of an emergency.
If you're looking for a plan with fixed doctor visit copayments, Gold Plans may be the way to go. You can choose from various plans, including the Blue Choice Preferred Silver Plan, which offers $15 PCP copays.
Here are some key features of Gold Plans:
- $15 primary care/$50 specialist office visit copays for Blue Choice Preferred Gold Plan 204
- $15 PCP copays for Blue Choice Preferred Silver Plans
- HSA Compatible plan with Blue Choice Preferred Bronze Plan 202, 302, and 502
- Maternity Coverage
- Well-adult care
- Well-child care
- Diagnostic testing
- Hospital services
- Optional dental coverage
Network and Benefits
You'll get the best value when you see a doctor in your network with Blue Shield, as they'll bill for most services and determine the allowable amount based on their negotiated rates.
Your out-of-pocket costs will vary depending on your deductible status, with 100% of the negotiated rate due for certain services until you reach the deductible limit. After that, you'll pay a certain percentage of costs, or coinsurance, for covered services received from Blue Shield providers.
You'll 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, which is called your plan's out-of-pocket maximum.
Advantage
The Blue Advantage PPO is a great option for businesses with 51-150 or 151+ employees, offering comprehensive coverage inside the state and extensive access outside Oklahoma through BlueCard.
You have the freedom to self-direct your care, without needing to select a primary care physician or obtain a referral for specialist care.
Having a primary care physician (PCP) is recommended, but you're not required to see one and can change your PCP if needed.

Many preventive care services, such as routine physical exams, screenings, and vaccinations, are covered 100% when you visit a doctor or your PCP in your plan's network.
You'll pay a small copayment, known as a copayment, to your doctor for each visit, with different copayments for general office visits and specialist visits.
In- and Out-of-Network Benefits Overview
In-network benefits are typically more comprehensive than out-of-network benefits.
Members can enjoy a greater level of coverage when using BlueCard PPO network providers.
In-network levels of benefits vary depending on each member's group medical benefits.
Members should check with their employer or contact the Horizon BCBSNJ service line for additional information about their benefits.
Finding Care
You've got access to a network of doctors and hospitals with Blue Choice Preferred PPO. This means you can choose from a large selection of healthcare providers.
To get started, you've been matched with a primary care physician (PCP) who can help coordinate your care. You can change your PCP if needed, and you're not required to see one first to receive care.
You can choose to visit a specialist without needing a referral, and many preventive care services like routine physical exams and vaccinations are covered 100% when you visit a doctor in your plan's network.
To save on out-of-pocket costs, make sure to choose a doctor in your plan's network. Bring your Blue Shield ID card with you to your visit to ensure smooth processing.
If you need care, simply call the doctor's office to make an appointment. Be aware that copayments may apply for services beyond preventive care.
Choice
When you're looking for a healthcare plan, you want to make sure you have a choice of doctors and hospitals. Blue Choice Preferred PPO offers a comprehensive PPO network of doctors and hospitals.
The Blue Choice Preferred PPO network is smaller than the standard Blue Cross Blue Shield of Illinois PPO network, but it's still a respectable option. It's a great choice if you're willing to accept some reduced hospital and physician choice.
You can choose any doctor or hospital within the Blue Choice Preferred PPO network without needing a referral to see a specialist. This is a convenient feature that can save you time and hassle.
The Blue Choice Preferred PPO plans have a higher monthly premium compared to other plans, but they often have lower out-of-pocket costs. This means you may pay less for things like hospital visits or prescription medications.
If you regularly visit a doctor or require regular prescription medication, you may want to consider a Blue Choice Preferred PPO plan. These plans are designed to provide you with the care you need at a lower cost.
Here are some key features of Blue Choice Preferred PPO plans:
- Seek coverage comparable to what is offered by employers
- Prefers fixed doctor visit copayments
- Regularly visits a doctor
- Requires regular prescription medication
If you're looking for a plan with a larger network of doctors and hospitals, you may want to consider other options like the BluePrint PPO plan. This plan offers access to over 23,000 doctors and 200 hospitals.
How to Pay for Care from Network Providers
You'll get the best value when you see 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.
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.
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, known as your plan's out-of-pocket maximum.
Locating a Card Provider
You can access information about BlueCard PPO network providers through the National Doctor and Hospital Finder.
Members can also call the BlueCard Access Line at 1-800-810-BLUE(2583) to access PPO providers.
If you're not yet an enrolled member, just let them know you're considering becoming a member.
Sources
- https://www.bcbsil.com/employer/our-products/product/medical
- https://www.ilhealthagents.com/carriers/bluecross-blueshield-illinois/blue-choice-preferred-ppo/
- https://www.blueshieldca.com/en/ifp/members/plan-resources/your-ppo-plan
- https://www.bcbsok.com/producer/our-products/group-products/medical
- https://www.horizonblue.com/members/plans/medical-plans/bluecard-ppo
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