- Individual and Family
Health Insurance - Individual and Family Health Insurance Plans
- PPO Select Blue Advantage Series III
- PPO Select® Choice Series III
- PPO Select® Saver Series III
- BlueEdgeSM Individual HSA
- PPO Select Value® CareSM
- PPO Select BasicSM
- SelecTEMP® PPO
- Foundation Hospital Care
- Texas Blue Alliance
- Dental Indemnity USA
- Health Savings Account (HSA)
- Short-Term Health Insurance
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PPO Select BasicSM
Policy Form Number: PPO-IND-CCBHP
General Benefits
| In-Network Benefits | Out-Of-Network Benefits |
| PPO Select Basic pays 75% of the allowable amount and you pay 25% of covered expenses after you meet your deductible | PPO Select Basic pay 50% of the allowable amount and you pay 50% of covered expenses 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 preauthorize your medical care | You must preauthorize hospital admissions and certain services |
| Usually no claim forms to file | You may have to submit claims for reimbursement |
| Emergency Room visit subject to deductible and coinsurance - 75/25 | Emergency Room visit subject to deductible and coinsurance - 50/50 |
- Plan Overview
- General Benefits
- Preventive Care
- Child-Only Coverage
- Prescription Drug Program
- View Outline of Coverage
Individual & Family Plans Only
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BlueCard PPO
Through the BlueCard PPO Program, BCBS Plans work together to help ensure that you receive affordable health care.
