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Contact Us: 541.434.9613 or 800.884.2343 |
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Blue Selections Premier
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| Find a doctor in this directory | ||
| Lifetime benefit maximum |
$2 million per individual
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| Benefit Features |
In-Network Benefit
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Out-Of-Network Benefit
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| Deductibles |
$500, $1,000, $2,500, $5,000, $7,500
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| Family deductible/calendar year |
Maximum of three family members
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| Maximum amount of covered expenses you pay each
calendar year per person (coinsurance) |
$4,000
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$6,000
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| After your maximum coinsurance is met each calendar year, we pay |
100%
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100%
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| Important note: Covered expenses paid at the 100% level, or any deductible and/or copayments do not accumulate toward your maximum coinsurance. Copayments will continue to be collected after your maximum coinsurance has been met. | ||
| Preventative Care Services (Click to see preventive care schedule) |
Deductible Waived We Pay
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| Immunizations (office visit not included) |
100% after $10 copayment
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100% after $10 copayment
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| Well-baby exam to age 2 (immunization copayment waived if included) |
100% after $20 copayment
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100% after $20 copayment
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| Annual women's exams |
100% after $20 copayment
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100% after $20 copayment
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| Physicians Services |
Deductible Waived We Pay
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| Office visits |
100% after $20 copayment
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100% after $20 copayment
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| Urgent care visits |
100% after $20 copayment
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100% after $20 copayment
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| Other Office and Professional Services |
After Deductible We Pay
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| Therapeutic injections and allergy shots |
80%
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70%
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| Surgical procedures |
80%
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70%
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| Maternity care |
80%
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70%
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| Diagnostic radiology and lab (including Pap test and mammogram) |
80%
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70%
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| Hospital Services (Click for Emergency care guidelines) |
After Deductible We Pay
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| Inpatient medical stay (including maternity, surgery, and rehabilitation) |
80%
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70%
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| Inpatient mental health stay |
80%
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70%
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| Visits and consultations in hospital |
80%
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70%
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| Outpatient surgery |
80%
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70%
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| Emergency room for medical emergency (copayment waived if admitted to hospital) |
80%, after you pay a $100 copayment
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80%, after you pay a $100 copayment
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| Emergency room for non-emergency |
80%, after you pay a $100 copayment
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70%, after you pay a $100 copayment
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| Other Services |
After Deductible We Pay
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| Ambulance |
80%
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| Additional Accident (Deductible waived for accidental injuries within 90 days) |
80%
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70%
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| Outpatient Rehabilitation (physical, speech, and occupational therapy) |
80%
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70%
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| Outpatient durable medical equipment and supplies |
80%
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70%
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| Transplant |
100% (contracted facility)
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60% (non-contracted facility)
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Prescription Medications
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| Individual deductible per calendar year (separate from medical) |
No deductible
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| After deductible, we pay each calendar year |
50% (no maximum benefit)
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Additional Benefits
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| Accidental death | Provide $25,000 for you and your enrolled adult spouse, $5,000 for each enrolled dependent or a subscriber under the age of 18. | |
| Special Beginnings ® | Provides a maternity program designed to promote healthy prenatal care through education and support | |
| BlueCard ® program | Provides savings nationwide. To receive the best benefit, please use BlueCard PPO providers of the Blue Cross and/or Blue Shield Plan in the area where you receive the service. | |
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