Blue Cross Blue Shield of Texas - Insurance Plan Highlights

Products
Group
HMO Blue Texas
BlueCard PPO
BlueChoice PPO
Small Group (2-50)
Individual
Select Blue Advantage Series III
PPO Select^® Choice Series III
PPO Select^® Saver Series III
BlueEdge^SM Individual HSA
PPO Select Value^® Care^SM
PPO Select Basic^SM
Foundation Hospital Care
SelecTEMP^® PPO
Dental Indemnity USA

Insurance Plan Highlights

BlueEdge^SM Individual Health Savings Account (HSA), a Preferred Provider Health Insurance Plan, offers you and your family:

$5,000,000 lifetime maximum benefit
Inpatient hospital benefits and professional care
Outpatient professional care (including office visits, X-rays, lab, and diagnostic services)
24-hour, worldwide emergency care
Well-child care routine physical, vision, and hearing exam
Immunization benefits (up to age seven)
Human organ and tissue transplant benefits ($300,000 maximum subject to $5,000,000 lifetime maximum benefit)
Preventive Care - $300 maximum per participant per calendar year
Home health care, hospice and skilled nursing facility benefits (subject to limitations)
Access to one of the largest provider networks in the state, the BlueChoice® PPO network
Security of one of the most widely recognized insurance cards - Blue Cross and Blue Shield of Texas
BlueCard PPO Program providing access to one of the Nation's largest preferred provider networks.
Three-tier prescription drug program
Prescription Drug Card

*Texas Department of Insurance form: PPO-BLUEEDGE-INDL-HSA-OLC-3