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BlueCross BlueShield of Texas Health Care Costs
 



General Benefits
In-Network Benefits Out-Of-Network Benefits
PPO Select®Saver Series III, a Preferred Provider Health Insurance Plan, pays 75 percent and you pay 25 percent of the allowable amount after you meet your deductible. PPO Select®Saver Series III, a Preferred Provider Health Insurance Plan, pays 60 percent and you pay 40 percent of the allowable amount after you meet your deductible.
All physician office visits will be subject to deductible and coinsurance. All physician office visits will be subject to deductible and coinsurance.
Network providers will precertify your medical care. You must precertify hospital admissions and certain services.
There are usually no claim forms to file. You may have to submit claims for reimbursement.
 
* Texas Department of Insurance Form: PPO-SELSAVER-3-OLC-2

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