Some doctor visits, like an annual check-up, will cost you $0 with your plan. Others, like an appointment for the flu, may cost you money. Knowing where to go for care when you need it can save you time and money.
INDIVIDUAL & FAMILY
Visiting Your Doctor
Learn how building a good relationship with your doctor, preventive care and your Blue Cross and Blue Shield of Illinois plan can help you reach your health goals, easily and affordably.
Health Care Costs
What Should You (and Your Wallet) Expect?
Annual Check-Ups
Annual exams are $0 with your plan. However, if you get "extra" services during your appointment, like a new prescription or unexpected test, you may need to pay.
Checkups for Illness or Injury
Did you visit your doctor because of a scratchy throat or new symptom? If you go to your doctor for more than 1 annual checkup a year, you may get a health care bill.
Routine Vaccines & Screenings
Standard immunizations and, depending on your age, some screenings like mammograms or colonoscopies are covered by your plan.
Diagnostic Screenings & Tests
While some screenings and tests are covered as preventive, others, like tests performed for concerning health symptoms, are not covered as preventive care.
Pregnancy Care & Well-Child Visits
Some services for pregnant women, like prenatal visits and supplements, and well-child checkups are always covered through the Affordable Care Act.
Behavioral Health Support
Behavioral health services like substance use and rehabilitation or counseling are essential benefits. However, the costs vary depending the type of care and your plan.
Affordable Care Act
Insured for Essential Benefits, Always
Under the Affordable Care Act (ACA), some essential benefits will always be covered by your individual and family plan. This list of covered essential benefits is not impacted by the recent ACA changes.
- Emergency Hospitalization
- Rx & Disease Management
- Lab Services
- Maternity and Pediatric
- Behavioral Health
Benefits
Ready to save on your health care? BCBSIL benefits can help.
MDLIVE Virtual Visits¹ could help you save money and time when it comes to health questions and non-emergency concerns.
Learn how staying in network is one of the easiest ways to help cut health care costs.
1 Virtual Visits may be limited by plan. For providers licensed in New Mexico and the District of Columbia, Urgent Care service is limited to interactive online video; Behavioral Health service requires video for the initial visit but may use video or audio for follow-up visits, based on the provider’s clinical judgment. Behavioral Health is not available on all plans.
2 Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget Member Wellness Portal for more information. Blue Points will expire 90 days after coverage on a qualifying BCBSIL plan terminates.
3 Blue365 is a discount program only for Blue Cross and Blue Shield of Illinois members. This is NOT insurance. Some of the services offered through this program may be covered under your health plan. Members should check their benefit booklet or call the Customer Service number on the back of their ID card for specific benefit facts. Use of Blue365 does not change monthly payments, nor do costs of the services or products count toward any maximums and/or plan deductibles. Discounts are only given through vendors that take part in this program. BCBSIL does not guarantee or make any claims or recommendations about the program’s services or products. Members should consult their doctor before using these services and products. BCBSIL reserves the right to stop or change this program at any time without notice