Blue Access for Employers

Blue Advantage Entrepreneur PPOSM

(2–50 employees)

Advantages

  • The network includes more than 23,000 doctors and specialists and over 200 hospitals.
  • The national Blue Cross and Blue Shield PPO network includes more than 500,000 doctors (more than 85 percent of doctors nationwide) and more than 5,000 contracting hospitals.
  • Members can choose any doctor or hospital whenever they seek care.
  • When members receive care from a contracting PPO doctor or hospital, there are:
    • No claim forms to complete
    • No up front payments
    • No balance billing because PPO doctors and hospitals have agreed to accept Blue Cross and Blue Shield of Illinois' payment
  • Members may also use doctors and hospitals outside the PPO network, but the benefit level will be lower.

Benefits

  • Doctor office visits
  • Hospital and surgical care
  • Diagnostic testing
  • Emergency care benefits
  • Maternity care
  • Breast and cervical cancer screenings
  • Preventive care for adults
  • Well-child care

Other Covered Services

  • Mental health care and substance abuse treatment
  • Chiropractic services
  • Rehabilitative therapy (physical, speech and occupational)
  • Private duty nursing
  • Hospice
  • Extended care facility
  • Vision Discount Program
  • Hearing Aid Discount Program

Prescription Drug Coverage (with many benefit plans)

  • Prescription drug card benefit with mail service for maintenance medications

Blue Care Connection®

  • Utilization and case management
  • Special Beginnings®' maternity program
  • Mental health and substance abuse

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Related Information

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Contact your Blue Cross and Blue Shield representative for more information.