Blue Access for Employers

BlueChoice PPO®

(51–150 employees) (151+ employees)

Advantages

BlueChoice PPO® gives you flexible benefit design options at a price you can afford, while giving your employees a wide range of benefits and access to a broad provider network any time care is needed.

You can realize cost advantages when you offer BlueChoice PPO® along with other Blue Cross and Blue Shield of Illinois Plans, where you give your employees the opportunity to choose the health care benefits plan that’s right for them. BlueChoice PPO® can also maximize cost savings for both you and your employees when offered as a single plan option.

With BlueChoice PPO®, members and eligible dependents have the freedom to visit any physician they choose, with benefits paid at a higher level when the doctor is within the network. Members do not need to select a primary care physician to coordinate care and no referrals are needed to see a specialist.

The Network

BlueChoice PPO® offers access to a contracting hospital network created by considering:

  • Geographic accessibility
  • The number of board certified doctors on staff
  • Status with the Joint Commission on Accreditation of Healthcare Organizations
  • Clinical care indicators developed by the Agency for Healthcare Research and Quality (an agency of the U.S. Department of Health and Human Services)

Medical Care

Benefit coverage under BlueChoice PPO® includes:

  • Preventive care services
  • Doctor office visits
  • Inpatient hospital services
  • Outpatient hospital services
  • Outpatient surgery and diagnostic tests
  • Maternity services
  • Hospital emergency medical and accident treatment
  • Coverage away from home
  • Breast cancer screenings
  • Muscle manipulation services
  • Physical, occupational and speech therapy services
  • Vision discount program
  • Hearing aid discount program

Additional benefit coverage also available:

  • Prescription drug benefits with mail service for maintenance medications
  • Mental health and substance abuse coverage

Compare benefit plan designs

 

Related Information

Compare benefit plan designs


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