- 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® Choice Series III
Policy Form Number: PPO-SELCHOICE-3
General Benefits
| In-Network Benefits | Out-of-Network Benefits |
| PPO Select Choice pays 80% and you pay 20% of covered expenses after you meet your deductible | PPO Select Choice pays 70% and you pay 30% of covered expenses after you meet your deductible |
| $25 office visit copay (physician consultation only) | Physician office visits subject to deductible and coinsurance |
| Network providers will precertify your medical care | You must precertify hospital admissions and certain services |
| Usually no claim forms to file | You may have to submit claims for reimbursement |
- 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.
