Bluechoice Advantage Plan

August 31, 2019

Bluechoice Advantage Plan

For example if an out-of. These plans combine the benefits of an HMO with access to out-of-network providers.

Https Www Bluechoicesc Com Sites Default Files Documents Providers 2019 Id Card Guide Updated 12 20 Acb Pdf

The BlueChoice Allowed Benefit is generally the contracted rates or fee schedules that BlueChoice Providers have agreed to accept as payment for covered services.

Bluechoice advantage plan. Use this network when seeking in-network benefits in the DCMDNorthern Virginia area. Please return this form to your employer. My Health Toolkit Access your digital ID card check claims status view plan details and check your benefits.

Primary Care Visit to Treat an Injury or Illness. X-rays and Diagnostic Imaging. For Platinum and Gold plans you can earn up to 600.

Our POS plans offer more flexibility. 01012017 - 12312017 Summary of Benefits and Coverage. POS This is only a summary.

Employer must complete if Section. BlueChoice Advantage Plus is an open access point-of-service product. ANNUAL MEDICAL DEDUCTIBLE Benefit Period23 IndividualFamily None 1500 Individual3000 Family separate ANNUAL OUT-OF-POCKET MAXIMUM Benefit Period2 4 5.

If an out-of-network provider charges more than the allowed amount you may have to pay the difference. Laboratory Outpatient and Professional Services. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.

These payments are established by CareFirst BlueChoice Inc however in certain circumstances an allowance may be established by law. BlueChoice Advantage Gold 500 Coverage Period. If you have other family members on the plan each family member may need to meet their own.

What this Plan Covers What it Costs Coverage for. CareFirst BlueChoice Advantage does not require you to designate a primary care provider PCP or to obtain a referral to see a specialist. BlueChoice providers are also located in Fairfax County Prince William County Loudoun County as far as Winchester Warrenton and Fredericksburg.

18 Zeilen BlueChoice Advantage Platinum 0. And Group Hospitalization and Medical Services Inc. Please type or print clearly with pen.

50 Copay after deductible. That means Members decideat the time they need medical care whether they will go to a healthcare provider within BlueChoice HealthPlans network a Participating Provider or go toa non-network provider. 7 There are no limits for children until the end of the month in which the insured or enrollee turns 19 years of age when Physical Speech or.

CareFirst BlueChoice Advantage This plan functions as both a point-of-service POS and a preferred provider organization PPO plan. You can see providers in the BlueChoice network for the most savings or use the PPO network and pay slightly more but still be protected from balance billing. 9000 individual 18000 family.

Individual Plan Type. The BlueChoice Advantage plan allows members to go to providers in the BlueChoice network when inside the CareFirst service area MD DC Arlington County and east of Route 123 in Fairfax County. Plan has an integrated medical and prescription drug out-of-pocket maximum.

25 Copay after deductible. The CareFirst BlueChoice Advantage plan provides you with different ways to access care. Complete all appropriate items sign and date.

CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan. Plans allowed amount for an overnight hospital stay is 1000 your coinsurance payment of 20 would be 200. The amount the plan pays for covered services is based on the allowed amount.

5900 individual 11800 family. When receiving care within the CareFirst area utilize providers in CareFirsts BlueChoice and BluePreferred PPO networks to. Medical and Prescription Drug combined.

840 First Street NE Washington DC 20065 BlueChoice Advantage Enrollment Form District of Columbia Groups HOW TO COMPLETE THIS FORM. Getting healthy and staying healthy. Use this network when seeking in-network benefits outside of the.

Serving Maryland the District of Columbia and portions of Virginia CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland Inc. CareFirst BlueChoice Advantage offers you the flexibility and freedom to choose from both in- and out-of-network providers. The out-of-pocket limit is the most you could pay in a plan year for covered services.

If you want more detail about your coverage and costs you can get the complete terms in the policy or sample. This may change if you havent met your deductible. Costs for Medical Care.

10456550 to 10050 to 150. You can also visit a provider outside of CareFirsts networks but youll likely pay charges that exceed CareFirsts allowed benefit. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage Inc.

13 Zeilen Plan Name Rx Plan Type Integration Status Medical Summary.

Member Id Card Carefirst Bluecross Blueshield