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Blue Cross Basic Health
- Shop and Compare.
Blue Cross Basic Plan for the most benefits and for the best prices. BlueCross Basic Plan for the best overall health plans and overnight approvals.
Our BlueCross Basic Plan agent will help you shop. Our Blue Cross Basic Plan agent will help you comparison shop. Our BlueCross Basic Health agent will also help you save with comparison shopping.
Make your selection today and start saving on your health plan benefits tomorrow. We specialize in health plans that will give you "Peace of Mind".
Call for Free Phone Info and Quotes - Toll Free (800) 849-0953
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Benefits Comparison Effective for Plan Start Date 8/1/04 |
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Annual Out-of-Pocket Maximum
(includes deductible) |
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| Annual Out-of-Pocket Maximum
(includes deductible) |
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$3,500/single (2-member maximum)
Participating and non-participating combined |
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$1,000/member
(2-member maximum)
All covered benefits |
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No office visit benefits until out-of-pocket
maximum is met then plan pays 100% of negotiated fee |
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| Professional Services
(other office visits,
X-ray, lab, anesthesia,
surgeon, etc.) |
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20% of negotiated fee, hospital only;
no office visits until out-of-pocket maximum is met,
then plan pays 100% of negotiated fee |
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Hospital Inpatient/Outpatient |
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| Hospital Inpatient/Outpatient |
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$10,000 lifetime maximum
participating and non-participating providers combined |
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Maternity
(after deductible) |
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| Maternity
(after deductible) |
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HealthyCheck Centers:
$25 or $75 copay for basic screenings;
Routine mammogram, Pap, and
PSA ordered by physician: 20% of negotiated fee, deductible waived
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20% of negotiated fee
($750/trip maximum paid by BC Life &
Health Insurance Company) |
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Physical and Occupational Therapy;
Chiropractic Services |
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| Physical and Occupational Therapy; Chiropractic Services |
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Not covered unless during inpatient admission |
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Drug Benefits
(retail or mail order: 30-day supply) |
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| Drug Benefits
(retail or mail order: 30-day supply) |
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| Insurance Company's Plan Details |
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| Plan Exclusions and Limitations |
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*
This is a summary of plan benefits, for complete details refer
to the Master Contract or Benefits Booklet.
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This information is presented only as a very brief overview of some of the benefits of this plan, and is intended only for general education. The amount of benefits provided depends upon the plan selected. Premium will vary with the type of benefits selected. These plans contain exclusions from and limitations of coverage. Please see the product brochure for more complete information, as well as information about terms of renewability, preexisting conditions, out-of-network penalties, and notification requirements. Plans are subject to health underwriting.
To be considered for reimbursement, expenses must qualify as covered expenses. Expenses are also subject to reasonable and customary limits, unless you use a PPO, and all other policy provisions, including determinations of medical necessity.
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Specialists in Life and Health Insurance Plans that
will Give You "Peace of Mind" |
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