Blue Choice Preferred PPO Plans
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Blue Choice Preferred PPO
PPO, or Preferred Provider Organization, plans usually carry a higher monthly premium while having access to a larger network of doctors and hospitals to choose from.
Blue Choice Preferred PPO Plans offers a respectable PPO network of doctors and hospitals and the convenience of never needing a referral to see a specialist. Blue Choice Preferred PPO Plans are coupled with the Blue Choice Preferred PPO network, a smaller version of the “standard” Blue Cross Blue Shield of Illinois PPO network and the largest PPO network BCBSIL offers to individual health plans. If you can accept some reduced hospital and physician choice, Blue Choice Preferred PPO may be a great option for you. All Blue Choice Preferred PPO plans offer the same set of essential health benefits, quality and amount of care.
The differences are how much your premium costs each month, what portion of the bill you pay for things like hospital visits or prescription medications, and how much your total out-of-pocket costs are. Blue Choice Preferred PPO Plans have a higher monthly premium and often lower out-of-pocket costs than Blue Choice Preferred Silver plans.
These plans may be right for you if you are an individual or family who:
- Seek coverage comparable to what is offered by employers
- Prefers fixed doctor visit copayments
- Regularly visits a doctor
- Requires regular prescription medication
There are 12 Blue Choice Preferred PPO Plans to choose from, broken down into 4 tiers:
Catastrophic:
Catastrophic plans have a low monthly payment but a high deductible. This is a special catastrophic health care plan for certain people under age 30 and some people with low incomes. Available Catastrophic plan:
- Blue Choice Preferred Security PPOSM 200 – $9,450 individual deductible and 50% coinsurance
Bronze
Bronze plans may be for you if you have fewer medical needs, would rather have a low monthly payment, and don’t take prescription drugs regularly. Below is a quick summary of available plans, but you can learn more about Blue Choice Preferred Bronze Plans here.
- Blue Choice Preferred Bronze Plan 201 – $7,000 individual deductible and 50% coinsurance
- Blue Choice Preferred Bronze Plan 202 – $4,500 individual deductible and 40% coinsurance, HSA compatible
- Blue Choice Preferred Bronze Plan 601 – $7,000 individual deductible and 50% coinsurance, HSA compatible but NOT subsidy eligible (cannot purchase through healthcare.gov)
- Blue Choice Preferred Bronze Plan 701 – $6,100 individual deductible and 50% coinsurance
- Blue Choice Preferred Bronze Plan 708 – $6,100 individual deductible and 50% coinsurance
Silver
Silver plans may be for you if you want to pay less out-of-pocket for care, qualify for a premium tax credit (also known as a subsidy), have a spouse/children on your health plan, or have regular medical needs. Below is a quick summary of available plans, but you can learn more about Blue Choice Preferred Silver Plans here.
- Blue Choice Preferred Silver Plan 203 – $2,250 individual deductible and 50% coinsurance, $5 PCP copays (on-exchange/subsidy eligible)
- Blue Choice Preferred Silver Plan 303 – $1,800 individual deductible and 50% coinsurance, $10 PCP copays
- Blue Choice Preferred Silver Plan 706 – $5,900 individual deductible and 40% coinsurance, $40 PCP copays
- Blue Choice Preferred Silver Plan 801 Rx Copays NEW – $6,200 individual deductible and 40% coinsurance, $15 PCP copays
Gold
Gold plans may be for you if you have more health care needs than most, have a spouse/children on your plan or want to grow your family soon, or prefer to pay more each month but have lower out-of-pocket expenses. Below is a quick summary of available plans, but you can learn more about Blue Choice Preferred Gold Plans here.
- Blue Choice Preferred Gold Plan 204 Rx Copays – $750 individual deductible and 30% coinsurance, $15 PCP
- Blue Choice Preferred Gold PPO 707 – $1,500 individual deductible and 25% coinsurance, $30 PCP
Key Blue Choice Preferred PPO® plan features include:
- $15 primary care/30% specialist office visit copays for Blue Choice Preferred Gold Plan 204
- $15 PCP copays for Blue Choice Preferred Silver Plans
- HSA Compatible plan with Blue Choice Preferred Bronze Plan 202
- Maternity Coverage
- Well-adult care
- Well-child care
- Diagnostic testing
- Hospital services
- Optional dental coverage
Blue Choice Preferred PPO Plans may be right for you if you are an individual or family who:
- Seeks coverage comparable to what is offered by employers
- Prefers fixed doctor visit copayments
- Regularly visits a doctor
- Requires regular prescription medication
Compare the features, options and costs of Blue Choice Preferred PPO Plans to find the one that’s right for you.
Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Illinois family.
Discontinued Plans:
- Blue Choice Preferred Bronze Plan 302 – $6,350 individual deductible and 40% coinsurance, HSA compatible but NOT subsidy eligible
- Comparable Plan: Blue Choice Preferred Bronze Plan 202
- Blue Choice Preferred Bronze Plan 502 – $5,000 individual deductible and 50% coinsurance, HSA compatible but NOT subsidy eligible
- Comparable Plan: Blue Choice Preferred Bronze Plan 202
- Blue Choice Preferred Bronze Plan 705 – $6,100 individual deductible and 0% coinsurance
- Comparable Plan: Blue Choice Preferred Bronze Plan 708