The BlueChoice plan gives you the choice of doctors and hospitals from a broad network - coverage that extends from preventive care to chronic care, and the flexibility to direct your own care.

With BlueChoice, each time you seek medical care, you have the freedom to coordinate your health care through a BlueChoice contracting doctor or hospital, or self-direct to a non-network doctor or hospital.

• You select a primary care physician (PCP) from the contracting physician network.
• When care is provided or coordinated by your PCP, your benefits are paid at the higher, in-network level.
• You receive referrals from your primary care physician to network specialists and medical facilities.
• If you prefer to direct your own care and go outside the network, your benefits are paid at the lower, out-of-network level.

BlueChoice Advantages

With the BlueChoice plan, benefits include coverage for:

• Doctor office visits
• Inpatient hospital services
• Outpatient hospital services
• Outpatient surgery and diagnostic tests
• Maternity services
• Hospital emergency medical and accident treatment
• Prescription drug benefits (including home delivery services)
• Breast cancer screenings
• Physical, occupational and speech therapy services
• Mental health and chemical dependency treatment
• Reconstructive surgery following a mastectomy

Preventive Care

BlueChoice includes coverage for preventive care services for well-child and adult care, such as:

• Physical exams and checkups
• Immunizations
• Diagnostic tests
• Prenatal and routine gynecological care

Group plan coverage may vary.