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Small Group POS Providers cont.
BLUE SHIELD

Added Advantage POS Plan:
The Added Advantage POS plan offers the manageable costs of an HMO with access to the extensive PPO provider network.

Features-

  • Costs are lower when using the HMO Personal Physician rather than PPO or non-PPO providers
  • Members pay less to visit a PPO provider rather than a non-PPO provider
  • For coverage from a non-PPO provider, members pay the plan's calendar-year deductible, the applicable copayment plus any charges that exceed Blue Shield's allowable amount.

Benefit Chart-

Access + HMO Plans
Benefits Network Benefits: HMO Plan Providers In PPO Network and Out of PPO Network: Member Use of Plan and Non Plan Providers
Calendar Year Medical Deductible None $300/individual
$600/family
Physician Office Visits $10/visit 30%
Calendar-Year Brand-Name Drug Deductible None
Retail Drug Copayments $10 Generic drug; $20 Brand-name drug


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