Vincent White Memorial Shriners for Children California Hospital Promise East LA Hollywood Presbyterian Childrens Hospital. These acronyms represent the type of network you would have access to and.
Surety Plans We Agree To Blue Shield Of California Ppo Coverage
Blue Shield Platinum 60 HDHP PPO.
Covered california blue shield platinum 90 ppo. Tier 4 drugs however are subject to a very reasonable coinsurance of 10 of the cost of the drug up to a maximum of 250 per script. Individual and family Alaska Native and American Indian PPO plans available on exchange through Covered CA only for eligible American Indians and Alaska Natives. Learn more about plan monthly costpremimum deductiblesprescription drug coverage hospital services accepted doctors and more.
Please see plans Summary of Benefits and Coverage SBC and Evidence of Coverage EOC or policy document for complete information on benefits and exclusions. Blue Shield Minimum Coverage EPO Get Covered EPO Get Covered EPO Catastrophic Blue Shield Platinum 90 PPO Ultimate PPO Ultimate PPO Platinum level Blue Shield Gold 80 PPO Preferred PPO Preferred PPO Gold level Blue Shield Silver 70 PPO Enhanced PPO Enhanced PPO Silver level Blue Shield Silver 73 PPO Enhanced PPO 250 Subsidy Enhanced PPO. Blue Shield of California.
This formulary corresponds with the following plans. THE EVIDENCE OF COVERAGE SHOULD BE CONSULTED FOR A DETAILED DESCRIPTION OF COVERAGE. Please read both documents carefully.
Blue Shield Platinum 70 PPO AI-AN. PPO Plan Platinum 90 PPO This Summary of Benefits shows the amount you will pay for Covered Services under this Blue Shield of California Plan. Shield Silver 87 PPO Blue Shield Silver 94 PPO Blue Shield Bronze 60 PPO Blue Shield Bronze 60 HDHP PPO Blue.
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. Top of the Line Think the Rolls-Royce of the Covered California Metal Plan Portfolio.
Blue Shield Silver 94 PPO. BLUE SHIELD PLATINUM 90 PPO BLUE SHIELD GOLD 80 PPO BLUE SHIELD SILVER 70 OFF EXCHANGE PPO BLUE SHIELD SILVER 70 PPO BLUE SHIELD SILVER 94 PPO BLUE SHIELD SILVER 87 PPO BLUE SHIELD SILVER 73 PPO Benefit With participating providers members pay1 Preventive health benefits 0 0 0 0 0 0 0 Office visit. Covered California is a registered trademark of the State of California.
PPO 1 of 9 Blue Shield of California is an independent member of the Blue Shield Association. The silver tier is the most popular so using it as an example if you were looking at all the Silver 70 plans on the Covered California marketplace there would be no plans benefit differences. THE EVIDENCE OF COVERAGE SHOULD BE CONSULTED FOR A DETAILED DESCRIPTION OF COVERAGE.
If a person in Los Angeles County has enrolled in a Blue Shield PPO plan through Covered California they have access to LAC-USC Medical Center USC Norris Cancer Hospital Keck Hospital at USC as well as St. The Summary of Benefits and Coverage SBC document will help you choose a health plan. 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.
You would only have to decide which carrier you want and whether you want an HMO EPO PPO or HSP. Get Health Insurance plan info on Blue Shield Platinum 90 PPO from Blue Shield of California. 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.
PPO 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. 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. Individual Family Plan Type.
Blue Shield Platinum 90 PPO 015 Child Dental INF Coverage for. Blue Shield Silver 73 PPO. The Covered California Platinum 90 plan includes low copays for Rx benefits and no Rx deductible.
Blue Shield Silver 87 PPO. Beginning on or after 112015 Summary of Benefits and Coverage. What this Plan Covers What it Costs Coverage for.
Individual Family Plan Type. Covered California Platinum 90 Plan. It is only a summary and it is included as part of the Evidence of Coverage EOC1 Please read both documents carefully for details.
The Platinum plan offers a much smaller out of pocket expense when it comes time for doctors visits labs prescriptions etc. That means that from the beginning the only cost associated with Tier 1 2 and 3 drugs is the copay. Platinum 90 PPO Provider Network Name.
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. Learn more about plan monthly costpremimum deductiblesprescription drug coverage hospital services accepted doctors and more. Blue Shield Platinum 90 PPO Blue Shield Gold 80 PPO Blue Shield Silver 70 PPO Blue Shield Silver 73 PPO Blue.
Blue Shield Platinum 80 PPO AI-AN. Blue Shield Platinum 90 PPO AI-AN. Blue Shield Platinum 60 PPO AI-AN.
