2019 Illinois QHP Small Group Actual Policy Documents

Below is a list of actual policy documents for QHP small group 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.

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Platinum Plans

Blue PPO Platinum Plans
Off Exchange

Blue PPO Platinum Plan 119

Blue Precision Platinum Plans
Off Exchange

Blue Precision Platinum HMO 107

BlueCare Direct Platinum Plans
Off Exchange

BlueCare Direct Platinum 107 with Advocate

Gold Plans

Blue PPO Gold Plans
Off Exchange

Blue PPO Gold 114
Blue PPO Gold 107
Blue PPO Gold 116
Blue PPO Gold 123
Blue PPO Gold 102
Blue PPO Gold 113
Blue PPO Gold 115
Blue PPO Gold 101

Blue Precision Gold HMO Plans
Off Exchange

Blue Precision Gold HMO 101
Blue Precision Gold HMO 109

Blue Options Gold Plans
Off Exchange

Blue Options Gold 102
Blue Options Gold 106
Blue Options Gold 101

BlueCare Direct Gold Plans
Off Exchange

BlueCare Direct Gold 101 with Advocate
BlueCare Direct Gold 109 with Advocate

BlueChoice Preferred Gold PPO Plans
Off Exchange

Blue Choice Preferred Gold PPO 101
Blue Choice Preferred Gold PPO 102
Blue Choice Preferred Gold PPO 107
Blue Choice Preferred Gold PPO 113
Blue Choice Preferred Gold PPO 115

Silver Plans

Blue PPO Silver Plans
Off Exchange

Blue PPO Silver 120
Blue PPO Silver 104
Blue PPO Standard Silver 135
Blue PPO Silver 133
Blue PPO Silver 105

Blue Precision Silver HMO Plans
Off Exchange

Blue Precision Silver HMO 106
Blue Precision Silver HMO 102

BlueCare Direct Silver Plans
Off Exchange

BlueCare Direct Silver 106 with Advocate
BlueCare Direct Silver 102 with Advocate

BlueChoice Preferred Silver PPO Plans
Off Exchange

Blue Choice Preferred Silver PPO 120
Blue Choice Preferred Silver PPO 104
Blue Choice Preferred Silver PPO 133
Blue Choice Preferred Silver PPO 105
Blue Choice Preferred Standard Silver PPO 135

Blue Options Silver PPO Plans
Off Exchange

Blue Options Silver PPO 104
Blue Options Silver PPO 107

Bronze Plans

Blue PPO Bronze Plans
Off Exchange

Blue PPO Bronze 132
Blue PPO Bronze 106

BlueChoice Preferred Bronze PPO Plans
Off Exchange

Blue Choice Preferred Bronze PPO 106
Blue Choice Preferred Bronze PPO 132