The BlueChoice HMO Plan
(Closed to new participants, effective 01/01/2010, except for Bargaining Unit)
An HMO is a managed health care plan consisting of a network of physicians and other medical providers.
If you enroll in the BlueChoice HMO Plan, all of your health care must be coordinated and approved by your HMO's
primary care physician and received in-network.
Click Here for a BlueChoice Medical Benefits Summary.
Some of the features of the BlueChoice HMO Plan are outlined below.
| You Pay... | |
|---|---|
| Annual Deductible | None |
| Physician services (office visits) | $10 co-payment |
| Physician services (inpatient) | None |
| Physical exams (routine adult) | $10 co-payment for PCP $20 co-payment for specialist |
| Specialist care (office visits) | $20 co-payment |
| Ambulance | None |
| Prescription Drug Benefits | ||
| Retail Copay 30 - day Supply | Mail Order Copay 90-day supply | |
| Generic | $10 | $20 |
| Formulary Brand | $20 | $40 |
| Non - Formulary Brand | $35 | $70 |
| Annual Maximum Benefit | None |
| Annual Out-of-Pocket Maximum | None |
For a complete look at the features and benefits under the BlueChoice HMO Plan, be sure to visit the Health Plan Comparison Chart.
Medical Plan Contacts
