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Individuals and Families: Comprehensive Blue PPO
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Comprehensive Blue PPO Benefits At-A-Glance

$5,000,000 in lifetime benefits per covered member.
Given the high cost of health care, it’s reassuring to know that each covered member has that much protection.

Wellness benefits.
You’ll have benefits that help to keep you healthy, including coverage for routine physical exams, gynecological exams and more — all with no deductible to meet.

Benefits for children’s preventive services.
Children’s well-patient care (office visits only) and immunizations are covered at 100 percent.

Access to our extensive network.
You can lower your out-of-pocket costs by choosing a provider from our extensive network for your medical care. Chances are, your doctor or specialist already participates. What’s more, you can see any participating specialist without a referral.

Out-of-network coverage: You have the choice to seek care outside the network and still be covered, although you’ll be responsible for more of the costs. For out-of-network care:

  • Your out-of-network deductible is doubled. (For instance, if your in-network deductible is $2,500, your out-of-network deductible will be $5,000.)
  • Applicable coinsurance is doubled once the deductible is satisfied. There is no limit to your calendar-year coinsurance maximum amount if using out-of-network providers because out-of-network expenses do not satisfy any portion of the in-network deductible or calendar-year coinsurance maximum.
  • If you go out of network, you will be responsible for any “balance billing” — in other words, the difference between the provider’s bill and the Arkansas Blue Cross allowed amount.

 

Affordable Prescription Drug Benefits.
Prescription drug benefits can help to dramatically lower your out-of-pocket costs. Prescription drug benefits are based on a formulary (a list of covered drugs). Comprehensive Blue PPO uses Formulary One (2068 KB PDF):

  • $10 copayment for generic prescription drugs;
  • $35 copayment for brand-name drugs; and
  • $70 copayment for non-preferred brand-name drugs.

HealthConnect Blue
With HealthConnect Blue, better health is just a call or click away. Personal health coaches are available 24/7 to advise you on everything from common health concerns to chronic conditions. You’ll receive the latest information on health education programs, covering topics such as cardiovascular health, diabetes, weight loss and more. Plus, you’ll have access to online tools and information to help you make decisions about your health.

Add Optional Maternity and Obstetrical Care Benefits
Comprehensive Blue PPO plans provides the option of adding a maternity and obstetrical care rider — with no per pregnancy maximum. Benefits are payable once the maternity coverage has been in effect for 12 months. This optional benefit is available only to females age 18 or older. Dependents other than a covered spouse cannot purchase the maternity rider. The maternity rider covers the mother only. Maternity benefits are subject to the deductible and coinsurance. Coinsurance will not apply toward the annual out-of-pocket coinsurance maximum.

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Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue
Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
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