This health plan uses the Exclusive PPO. Blue Shield Platinum 90 PPO 015 Child Dental.
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If you want more detail about your coverage and costs you can get the complete terms in the policy or.
Blue shield platinum ppo. Platinum and Gold plans These plans are a great choice if you go to the doctor often. Platinum 90 PPO Provider Network. Learn more about plan monthly costpremimum deductiblesprescription drug coverage hospital services accepted doctors and more.
Platinum Youll pay a high monthly rate for your plan and pay a low amount when you need care. The HMO Platinum POS plan has the predictable out-of-pocket costs of an HMO plan and some of the flexibility of a PPO plan. Great for those who see a doctor often We pay 90 of covered medical expenses.
While we strive to keep this list up to date its always best to check with your health plan to determine the specific details of your coverage including benefit designs and Sutter provider participation in your provider network. Your PCP coordinates all your care and. In most cases platinum plans cover 90 of costs while you cover 10.
They are available to assist you from 7 am. Blue Shield of California is an independent member of the Blue Shield Association. English PDF 1MB Spanish PDF 18MB English PDF 122KB Infertility English PDF 118KB Spanish PDF 17MB Blue Shield Gold 80 PPO 35025 Child Dental.
View the plan details below. THE EVIDENCE OF COVERAGE AND THE PLAN. It sets forth the Members share-of-costs for Covered Services under the benefit plan.
Get Health Insurance plan info on Blue Shield Platinum 90 PPO from Blue Shield. Blue Shield Platinum 90 PPO Uniform Health Plan Benefits and Coverage Matrix Blue Shield of California Effective January 1 2017 THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. What this Plan Covers What it Costs.
Platinum Full PPO 010 OffEx Summary of Benefits The Summary of Benefits is provided with and is incorporated as part of the Evidence of Coverage. PPO 1 of 8 Blue Shield of California is an independent member of the Blue Shield. Blue Cross and Blue Shield of Illinois a Division of Health Care Service Corporation a Mutual Legal Reserve Company an Independent Licensee of the Blue Cross and Blue Shield Association P500PPO Blue PPO Platinum 019 Coverage Period.
Blue Shield Platinum 90 PPO 015 Child Dental Benefit Summary For groups 1 to 100 Uniform Health Plan Benefits and Coverage Matrix Blue Shield of California Effective January 1 2017 THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. Our Platinum plans contain our highest premiums and are designed to include the lowest cost-sharing deductible and copays compared to other plans. It is not a complete list of what is covered or not included.
This is only a summary. Common Medical Event Services You May Need Your Cost If You Use a Participating Provider Your Cost If You Use a Non-Participating Provider Limitations Exceptions If you have a test Diagnostic test x-ray blood work Lab Path at Free Standing. Platinum plans have the highest premium and often the lowest out-of-pocket costs.
The following hospital andor physician groups accept Blue Shield Platinum PPO. Blue Shield PPO Plan Frequently Asked Questions If you have any questions about your plan benefits call your dedicated Blue Shield Member Services team at 855 724-7698. Pacific time Monday through Friday.
Blue Shield Platinum 90 PPO AI-AN Blue Shield Platinum 80 PPO AI-AN. THE EVIDENCE OF COVERAGE SHOULD BE CONSULTED FOR A DETAILED DESCRIPTION OF COVERAGE BENEFITS AND LIMITATIONS. Exclusive PPO Network This benefit plan uses a specific.
It is only a summary and it is part of the contract for health care coverage called the Evidence of Coverage EOC1 Please read both documents carefully for details. English PDF 1MB Spanish PDF 18MB English PDF. Please note all premiums listed represent coverage for dependents up to age 26.
It sets forth the Members share-of-costs for Covered Services under the benefit plan. Platinum 90 PPO This Summary of Benefits shows the amount you will pay for covered services under this Blue Shield of California benefit plan. IndividualFamily Plan Type.
Individual Family Plan Type. Information in these SBCs represents an overview of coverage. Blue Shield Platinum 90 PPO Plan Summary of Benefits The Summary of Benefits is provided with and is incorporated as part of the Evidence of Coverage.
Bronze plans These plans are a great choice if you rarely see the doctor and. Blue Shield Silver 94 PPO Individual and family Alaska Native and American Indian PPO plans available on exchange through Covered CA only for eligible American Indians and Alaska Natives. Coverage Period Beginning on or after.
Blue Shield Platinum 90 PPO 015 Child Dental INF Coverage for. When you enroll in this plan youll need to select a primary care physician PCP for yourself and your covered dependents from the Blue Shield HMO Network. Please read both documents carefully for a complete description of provisions benefits exclusions and other important information.
Anthem Blue Cross Blue Shield. Summary of Benefits and Coverage. These plans are only available through Covered California.
From Blue Shields HMO and PPO providers. Blue Shield Mirror PPO Plans Summary of Benefits Disclosures Optional Benefit. Blue Shield Silver 94 PPO Blue Shield Silver 87 PPO and Blue Shield Silver 73 PPO.
Covered California Platinum 90 Plan Health For California
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