2026 Illinois Blue Balance Funded Policy Documents

Below is a list of actual policy documents for Blue Balance Funded coverage. These policies describe how the plans generally work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.

If you have questions, contact a customer service representative at 1-800-538-8833 for more information.

Return to Policy Documents

Blue Choice Select PPO

• Blue Choice Select PPO A621 - Rx Copays
• Blue Choice Select PPO A602 - Rx Copays
• Blue Choice Select PPO A603 - Rx Copays
• Blue Choice Select PPO A615 - Rx Copays
• Blue Choice Select PPO A605 - Rx Copays
• Blue Choice Select PPO A617 - Rx Copays
• Blue Choice Select PPO A616 - Rx Copays
• Blue Choice Select PPO A607 - Rx Copays
• Blue Choice Select PPO A608 - Rx Copays
• Blue Choice Select PPO A618 - Rx Copays
• Blue Choice Select PPO A612 - Rx Copays
• Blue Choice Select PPO A619 - Rx Copays
• Blue Choice Select PPO A613 - Rx Copays
• Blue Choice Select PPO A620 - Rx Copays
• Blue Choice Select PPO A514 - Rx Copays

BluePrint PPO

• BluePrint PPO A501 - Rx Copays
• BluePrint PPO A621 - Rx Copays
• BluePrint PPO A602 - Rx Copays
• BluePrint PPO A603 - Rx Copays
• BluePrint PPO A615 - Rx Copays
• BluePrint PPO A604 - Rx Copays
• BluePrint PPO A605 - Rx Copays
• BluePrint PPO A617 - Rx Copays
• BluePrint PPO A606 - Rx Copays
• BluePrint PPO A616 - Rx Copays
• BluePrint PPO A607 - Rx Copays
• BluePrint PPO A608 - Rx Copays
• BluePrint PPO A609 - Rx Copays
• BluePrint PPO A618 - Rx Copays
• BluePrint PPO A610 - Rx Copays
• BluePrint PPO A611 - Rx Copays
• BluePrint PPO A612 - Rx Copays
• BluePrint PPO A619 - Rx Copays
• BluePrint PPO A613 - Rx Copays
• BluePrint PPO A620 - Rx Copays
• BluePrint PPO A514 - Rx Copays

Blue Choice Options

• Blue Choice Options A601 - Rx Copays
• Blue Choice Options A602 - Rx Copays
• Blue Choice Options A609 - Rx Copays
• Blue Choice Options A603 - Rx Copays
• Blue Choice Options A610 - Rx Copays
• Blue Choice Options A607 - Rx Copays
• Blue Choice Options A604 - Rx Copays
• Blue Choice Options A608 - Rx Copays
• Blue Choice Options A605 - Rx Copays
• Blue Choice Options A606 - Rx Copays
• Blue Choice Options AE691
• Blue Choice Options AE492
• Blue Choice Options AE592
• Blue Choice Options AE493
• Blue Choice Options AE593

Blue Edge HSA

• BlueEdge HSA AA691
• BlueEdge HSA AA692
• BlueEdge HSA AA291
• BlueEdge HSA AA593
• BlueEdge HSA AE691
• BlueEdge HSA AE692
• BlueEdge HSA AA594
• BlueEdge HSA AE594
• BlueEdge HSA AE595
• BlueEdge HSA AE596
• BlueEdge HSA AE493
• BlueEdge HSA AE597

BlueEdge Select HSA

• BlueEdge Select HSA AA491
• BlueEdge Select HSA AA593
• BlueEdge Select HSA AE598
• BlueEdge Select HSA AE594
• BlueEdge Select HSA AE596
• BlueEdge Select HSA AE595
• BlueEdge Select HSA AA599
• BlueEdge Select HSA AE597