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The Blue Cross and Blue Shield of Illinois (BCBSIL) Blue Choice PPO plan offers a variety of benefits, including medical coverage, emergency care, vision services and more.
The Blue Choice PPO plan gives you access to a wide scope of benefits and a value-based network of doctors and hospitals any time you need care.
With the Blue Choice PPO plan, you have access to a value-based network of contracting doctors and hospitals in Illinois at an affordable cost. With Blue Choice PPO:
The Blue Choice PPO plan includes coverage for:
Additional benefit coverage may include:
The Blue Choice PPO plan provides full coverage for services that can keep you and your covered family members healthy. Preventive services include:
When you receive care from network doctors and hospitals:
You can receive care from a doctor or hospital outside the network, but benefits will be paid at a lower level and your out-of-pocket cost will be higher.
The Blue Choice PPO plan offers access to a focused hospital and physician network.
The hospital network is based on geographic accessibility, the number of board certified doctors on staff, status with the Joint Commission on Accreditation of Healthcare Organizations and clinical care indicators developed by the Agency for Healthcare Research and Quality, an agency of the U.S. Department of Health and Human Services. Clinical care indicator scores of hospitals in the network for the Blue Choice PPO product are comparable to the scores of those in the broad network for the Point of Service product.
The Blue Choice PPO plan provides emergency care coverage for members, even when traveling out-of-state or abroad.
Whether you're traveling across the country or around the world, you can take your Blue Cross and Blue Shield of Illinois BlueChoice Select health care benefits with you.
The Blue Choice PPO plan includes nationwide access to contracting doctors and hospitals in Participating Provider Organization (PPO) network linked through the BlueCard® PPO program.
Members who use a BlueCard PPO network doctor or hospital receive the highest level of benefits.
When you travel outside the United States and need urgent or immediate care, you are covered. Blue Cross and Blue Shield of Illinois contracts with doctors and hospitals in more than 200 countries, but you may receive care anywhere you choose.
Federal and State of Illinois laws require group health plans and insurers to provide coverage for reconstructive surgery following a mastectomy. These laws state that health plans that cover mastectomies must also provide coverage in a manner determined in consultation with the attending physician and patient for:
BCBSIL plans traditionally offered this coverage before it was required. We continue to provide this coverage if the procedures are provided by a licensed physician according to each plan???s provisions. Coverage may also include benefits for annual mammograms.
If you have prescription drug coverage through BCBSIL: