- 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
Provider Finder
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PPO Select BasicSM
Policy Form Number: PPO-IND-CCBHP
Prescription Drugs
| Options | Separate Deductibles |
Prescription Drug Card Program | |||
| *Individual (per calendar year) |
Copayment Amounts | Calendar Year Maximum Benefits | |||
| Generic | Preferred | Non Preferred | |||
| Plan I | $500 | $10 | $50 | $65 | $2,500 |
| Plan II | $500 | $10 | $50 | $65 | $2,500 |
| Plan IIII | |||||
| Plan IV | $500 | $10 | $50 | $65 | $2,500 |
* Separate deductible of $500 not applicable to Generic drugs, but will be applicable to Preferred and Non-preferred drugs.
- 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.
