BluePrint PPO Product Overview

Advantages

• There are more than 29,000 doctors and specialists and over 200 hospitals in the network.
• The national Blue Cross and Blue Shield PPO network includes more than 500,000 contracting doctors (more than 85 percent of doctors nationwide) and more than 5,000 contracting hospitals.
• Members can choose any doctor or hospital whenever they seek care.
• When members receive care from a contracting PPO doctor or hospital, there are:
  • No claim forms to complete
  • No up front payments
  • No balance billing because PPO doctors and hospitals have agreed to accept Blue Cross and Blue Shield of Illinois' payment
• Members may also use doctors and hospitals outside the PPO network, but the benefit level will be lower.

Benefits

• Doctor office visits
• Hospital and surgical care
• Diagnostic testing
• Emergency care benefits
• Maternity care
• Breast cancer screenings
• Cervical cancer screenings
• Preventive care
• Well-child care for children

Other Covered Services

• Mental health care and substance abuse treatment
• Chiropractic services
• Rehabilitative therapy (physical, speech and occupational)
• Private duty nursing
• Hospice
• Extended care facility
• Vision Discount Program
• Hearing Aid Discount Program
• Prescription drug card benefit with mail service for maintenance medications

Blue Care^® Connection

• Utilization and case management
• Healthy Expectations^TM maternity program
• Mental health and substance abuse

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