Blue Access for Producers

BlueAdvantage Entrepreneur HMO Product Overview


The BlueAdvantage Entrepreneur HMO product is available to groups of 2+ employees.

Advantages

  • Members choose a contracting medical group/independent practice association from a large HMO network.
  • There is no annual deductible and generally no claim forms.
  • Copayment levels are low.

Benefits

Members also enjoy access to a range of benefits when care is provided/coordinated through their primary care provider (PCP):

  • 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 that does not require a PCP referral includes:

  • Emergency care
  • Out-of-area coverage (traveling/temporarily living out-of-state)
  • Substance abuse treatment (inpatient and outpatient)
  • Vision exams, at the cost of an office visit copayment; discounts on lenses, frames and permanent contact lenses, vision correction surgery and disposable contact lenses
  • Discounts on hearing aids
  • Discounts on chiropractic care, acupuncture, massage therapy and health and wellness products
  • Prescription drug card benefit with 90-day supply program for maintenance medications

Network

BlueAdvantage HMO is a broad provider network of contracting medical group/independent practice associations (IPAs) and contracting hospitals at a more affordable cost.

Check with your Blue Cross and Blue Shield of Illinois representative to determine which package is the best fit for your client's company.

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*Members of Physicians Care Network, Inc. coordinates mental health care directly with the behavioral health network provider.