Blue Selections Premier
is a popular choice for families because it provides easy
access to the doctor. An accident benefits
provide peace of mind to parents with active children.
Individuals who want to save money on their premium like
this plan too, because if offers high deductible choices along
with a simple $20 office visit copayment. An optional Individual
Dentacare Plan may be added.
|
Blue Selections Premier Plan Overview |
| Available in all Oregon counties |
| Find a doctor in this network |
Preferred
Provider Plan (PPP) |
| Annual maximum coinsurance |
$4,000 - $8,000 |
| Lifetime benefit maximum |
$2 million for each covered family member |
| Office visit |
In-Network 100% after $20 copay, not subject to deductible
Out-of-Network 100% after $40 copay, not subject to deductible |
| Annual women's exams |
In-Network 100% after $20 copay, not subject to deductible
Out-of-Network 100% after $40 copay, not subject to deductible |
| Annual men's exam includes PSA test |
In-Network 100% after $20 copay, not subject to deductible
Out-of-Network 100% after $40 copay, not subject to deductible |
| Childhood immunizations |
In-Network 100% after $20 copay, not subject to deductible
Out-of-Network 100% after $40 copay, not subject to deductible |
| Well-baby care through age 2 |
In-Network 100% after $20 copay, not subject to deductible
Out-of-Network 100% after $40 copay, not subject to deductible |
| Deductibles |
$1,000, $2,500, $5,000, $7,500 |
| After medical deductible is met |
We pay 80% of eligible in-network services and 60% of
eligible out-of-network services |
| Additional accident benefit |
Deductible is waived for treatment within 90 days |
| Prescription medications |
Generic: we pay 100% after $10 copay, we pay 50% for all other charges. No annual
limit. See the Pharmacy
Directory (located on the RegenceRx Web site) for
a pharmacy in your area. |
| Routine vision |
In-Network: We pay 100% after $20 copay, limited to one eye exam (refraction) per calendar year. Not subject to deductible
Out-of-Network: We pay 60% limited to one eye exam (refraction) per calendar year. Not subject to deductible |
| Vision hardware (glasses, lenses, contacts) |
We pay 100% hardware limited to $250 per calendar year. Not subject to deductible. |
| Accidental death |
Provides $25,000 for you and your enrolled adult spouse,
and $5,000 for each enrolled dependent or a subscriber
under the age of 18 |
| Special Beginnings® |
A maternity program designed to promote healthy prenatal
care through education and support |
| Travel benefit |
The BlueCard® Program allows you to see any participating
Blue Cross or Blue Shield doctor when you travel |
| TruVision |
Discounts for contact lenses and lasik surgery |
