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BlueEdgeSM Health Care Account (HCA) gives your employees freedom of choice, flexibility, a broad range of benefits and the largest contracting Preferred Provider Organization (PPO) network in Texas. Across the country, PPO networks are linked through the BlueCard® PPO program so it should be easy for employees to find a doctor or hospital when traveling, living, working or studying anywhere in the United States.
When your employees receive care from contracting PPO network doctors and hospitals:
- Benefits are paid at the highest level
- There are usually no claim forms to complete
- They are not responsible for any charges above the Blue Cross and Blue Shield negotiated fee or allowable amount
- They do not need a referral to see the doctor of their choice
- Once PPO coverage begins, the only other out-of-pocket expenses are any plan-specific coinsurance payments for covered benefits, plus any charges for non-covered services
Employees can always choose to receive care from doctors and hospitals outside the network, but benefits will be paid at a lower level.
BlueEdge HCA Benefit Overview
Preventive Care Benefits
Services are covered at 100 percent, of allowable amount, when received innetwork.
Well-child and adult care, including immunizations Screenings such as cholesterol, breast cancer and cervical cancer
Doctor and Hospital Benefits
Other Coverage
Rehabilitation therapy (physical, speech, occupational therapy) Mental health and chemical dependency treatment (with some health insurance plans) Prescription drug benefits (with some health insurance plans) Reconstructive surgery following a mastectomy
Utilization Management
Learn More About BlueEdge
BlueEdge Product Summary
BlueEdge HCA Benefits
Spending Accounts & the Deductible
Resources
BlueEdge FAQs
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