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PPO Select BasicSM

Preventive Care

PPO Select Basic emphasizes preventive care with coverage for routine physicals, immunizations and diagnostic tests. When you use network providers for your medical care, office visits and certain office setting services are generally covered at 75% of allowable amount, subject to deductible and coinsurance. Some services, such as immunizations for children through age 7, are covered 100%.

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Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association.

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