Blue Access for Employers

Blue Advantage HMOSM Product Overview

BlueAdvantage HMO offers the health care benefit coverage members want and need.

Advantages

BlueAdvantage HMO members receive Primary Care Physician (PCP) coordinated care.
Your PCP:

  • Knows and understands your healthcare needs
  • Is informed about your medical history
  • Provides basic medical care
  • Prescribes medication
  • Coordinates care and treatment with specialists and provides appropriate referrals


Additionally, you'll enjoy:

  • Choice of a PCP from a large network of contracting HMO medical groups/independent practice associations
  • No annual deductible
  • No claim forms
  • Copayments for services for predictable out of pocket expenses


Benefits

Members have access to a range of benefits with the BlueAdvantage HMO product.

  • Doctor office visits
  • Preventive care and wellness services for children and adults such as:
    • routine physicals
    • immunizations
    • tests and screenings for breast and cervical cancer, prostate and colon cancer
  • Outpatient surgery and diagnostic tests
  • Outpatient and inpatient hospital services and treatments
  • Maternity care
  • Mental health and substance abuse (inpatient and outpatient)
  • Rehabilitative therapy (such as physical, speech and occupational)
  • Other coverage and discounts on services such as:
    • Emergency care
    • Out-of-area coverage (traveling/temporarily living out of state)
    • Vision exams at the cost of an office visit copayment and discounts on lenses, frames and permanent contact lenses, vision correction surgery and disposable contact lenses
    • Discounts on hearing aids
    • Discounts on chiropractic care, acupuncture and massage therapy and health and wellness products
  • Prescription drug card benefit with 90-day supply for maintenance medications


Network

BlueAdvantage HMO offers one of the largest provider networks of primary care physicians (PCPs) and hospitals in the state.

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