Blue Cross Link
The Power of Blue: member-focused service, a wide choice of plans and doctors, financial strength and affordable rates.
What it take to get life Insurance

It takes more than money and good health. It takes a combination of caring, common sense, character and commitment. If your death will create an economic loss for your family, business, estate, community, college, church, or for your favorite charity, you need life insurance.

   Why are successful people more likely to buy life insurance than other people? Perhaps because they understand their value to others and the economic impact that their death will have. There Is a low cost to

having Life Insurance, but there can be a big terrible cost to not having it.

 BC Life & Health Basic PPO 2500 (R418)
 
  Lifetime Maximum
  Participating Provider $5,000,000/member Non-participating Provider $5,000,000/member

  Annual Out-of-Pocket Maximum
  (includes deductible)  Participating Provider $5,000/single (2-member maximum) 
  Participating and non-participating combined1 Non-participating Provider $5,000/single (2-member maximum)  
  Participating and non-participating combined1 Annual Deductible

  Participating Provider
  $2,500/member (2-member maximum) All covered benefits Non-participating Provider $2,500/member
  (2-member maximum) All covered benefits

  Office Visits
  Participating Provider No office visit benefit until out-of-pocket maximum met, then 100% of negotiated fee Non-
  participating Provider No office visit benefit until out-of-pocket maximum met, then 100% of negotiated fee

  Professional Services
  (other office visits, X-ray, lab, anesthesia, surgeon, etc.)
  Participating Provider 20% of negotiated fee, hospital only. No office visit benefits until out-of-pocket maximum
  met, then covered at 100% of negotiated fee Non-participating Provider Covered expenses paid at 50% of the
  limited-fee schedule plus 100% of excess

  Hospital Inpatient/Outpatient
  Participating Provider 20% of negotiated fee Non-participating Provider All charges except: $650/day inpatient,
  $380/day outpatient

  Hospice Participating 
  Provider $10,000 lifetime maximum, participating and non-participating providers combined Non-participating
  Provider $10,000 lifetime maximum, participating and non-participating providers combined

  Emergency Services
  Participating Provider 20% of negotiated fee3 Non-participating Provider 20% of customary & reasonable for the 
  first 48 hours plus 100% of excess; after 48 hours, you pay all charges except $650/day for covered services3

  Maternity
  (after deductible) Participating Provider Not covered Non-participating Provider Not covered
 
  Preventive Care
  Participating Provider HealthyCheck Centers: $25 or $75 copay for basic screenings; routine mammogram, PSA  
  and cancer screening, ordered by physician: 20% of negotiated fee (deductible waived) Non-participating
  Provider Outside California, 50% of customary & reasonable to maximum of $250/year; routine mammogram,
  PSA and cancer screening, ordered by physician: 50% of customary & reasonable plus 100% of excess

  Ambulance
  Participating Provider 20% of negotiated fee ($750/trip maximum paid by BC Life & Health Insurance Company)
  Non-participating Provider 50% of customary & reasonable plus 100% of excess

  Physical and Occupational Therapy; Chiropractic Services
  Participating Provider Not covered unless during inpatient admission Non-participating Provider Not covered
  unless during inpatient admission

  Acupuncture/Acupressure
  Participating Provider Not covered Non-participating Provider Not covered

  Drug Benefits
  (retail or mail order: 30-day supply) Participating Provider Not covered Non-participating Provider Not covered


  Please Note: When locating a provider, PPO plans are also referred to as Prudent Buyer 1 Non-participating
  charges in excess of the negotiated fee will not be paid and do not apply to the out-of-pocket maximum.    2 
  Additional $500 admission charge at Participating Hospitals (no additional for Preferred Participating Hospitals) is  
  for surgery or infusion therapy. This charge is not required for Ambulatory Surgical Centers or medical 
  emergencies. 3 Additional $30 copay for PPO Plans applies for each emergency room visit (waived if admitted as
  inpatient).
 
 
Insurance products,  California residents or businesses only. Graphics nationwide and global.
Copyright Marble 77.com All rights reserved.