PPO Blue Cross/Blue Shield
Phone toll free at
1-800-558-6213. Customer Service hours are 8:00 am - 5:00 pm EST, Monday through Friday.
- 2009 Member Handbook
- Member Home Page
- Benefit Changes for 2009
Annual Medical Deductible (In-Network): Increase to $350/individual; $875/family
Annual Medical Out-of-Pocket Maximum (In-Network): Increase to $1,350/individual; $2,700/family
Emergency Room Use: Increase to $75 per visit (This applies only if not admitted to the hospital.)
Prescription Drug Copay: Increase to $25/preferred brand; $50/non-preferred brand
Annual Pharmacy Copay Maximum: Increase to $1,620/individual
Diabetic Supplies (strips, lancets, syringes): Coinsurance waived when using In-Network Provider
Diabetic Prescription Drug (oral and insulin): Copay waived for generic and preferred brand when using In-Network Provider; $50 for non-preferred brand - View a comparison of PPO, POS, HMO plans for 2009
- View a comparison of PPO, POS, HMO premiums for 2009
- Group Insurance Enrollment Form
- 2008 Member Handbook
- Member Home Page
- PPO Plan Highlights for 2008
Annual Medical Deductible (In-Network): $300/individual; $750/family
Annual Medical Out-of-Pocket Maximum (In-Network): $1,300/individual; $2,600/family
Emergency Room Use: $50 per visit
Physician Office Visit, Lab & X-Ray (In-Network): 90% of MAC (maximum allowable charge)
Prescription Drug Copay: $5/generic; $20/preferred brand; $40/non-preferred brand
Annual Pharmacy Copay Maximum: $1,500/individual - Frequently Asked Questions
- Provider Search (select Blue Network P)
- Blue Card Out-of-State Provider Search (select PPO Network)
- Blue Access (order replacement ID cards, check claim status, verify your benefits)
- Blue Perks (discount program for non-covered services)
- Prescription Benefit
Prescriptions may be filled by participating providers (choose Pharmacy Network RX04) OR
receive a 102-day supply of medication for one copayment from either Caremark Home Delivery or a retail pharmacy that participates in the home delivery pharmacy retail network. You will need a written prescription from your doctor for a 102-day supply of medication, with three refills, if appropriate. - Mail at Retail Pharmacies
The following chain stores participate in the home delivery pharmacy network: Bi-Lo, CVS, KMart, Publix, Rite-Aid, Sam's Club, Walmart. View a complete listing of the home delivery pharmacy retail network or contact Member Services at 1-800-558-6213. If you utilize a retail pharmacy that does not participate in the home delivery network, you will only be able to obtain up to a 34-day supply of your medication for one copayment. - Prescription Drug FAQs
- Your Health Network Newsletter for July 2008
- View a comparison of PPO, POS, HMO plans for 2008
- View a comparison of PPO, POS, HMO premiums for 2008
- Group Insurance Enrollment Form
