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Small Group PPO Providers cont.
BLUE SHIELD (CA) ( Small Group Homepage )
Shield Spectrum PPO Plans:
Preferred Provider Organization (PPO)
plans give your employees direct access to physicians and specialists in the preferred provider network
and the option to go out of network.
Features-
- Choice of five PPO plans and four multiple plan packages
- $0 deductible option
- Two-tier provider network
- Predictable copayments, deductibles and copayment maximums
Benefit Chart-
| Shield Spectrum PPO Plans |
| Benefits |
Zero Deductible or 250 Premier |
250 Standard or Plan 500 |
Plan 1000 |
| |
Preferred Provider |
Non-Preferred |
Preferred Provider |
Non-Preferred |
Preferred Provider |
Non-Preferred |
| Calendar Year Medical Deductible |
Zero Deductible: Preferred- $0/individual $0/family
Non-Preferred- $500/individual $1,000/family
Plan 250 Premier: Preferred and Non-Preferred $250/individual $500/family |
Plan 250 Standard: Preferred and Non-Preferred $250/individual $500/family Plan 500: Preferred and Non-Preferred $500/inidividual $1,000/family |
Preferred and Non-Preferred $1,000/individual $2,000/family |
| Physician Office Visits |
Zero Deductible- $10
Plan 250 Premier-$15 |
30% |
Plan 250 Standard- $25
Plan 500- $35 |
40% |
$45 |
50% |
| Calendar-Year Brand-Name Drug Deductible |
None |
None |
$150/person |
$250/person |
| Retail Drug Copayments |
$10 Generic
$15 Brand-name |
$10 Generic
$20 Brand-name |
$10 Generic
$25 Brand-name |
$10 Generic
$25 Brand-name |
Shield Spectrum PPO Savings Plan:
The Preferred Savings Plan (PSP) provides affordable monthly fees and a variety of benefits subject to
the deductible.
Features-
- Preventive care for a copayment before meeting the deductible
- Only plan where a member's calendar-year deductible accumulates toward the calendar-year copayment
maximum
Benefit Chart-
| Benefits |
Shield Spectrum PPO Savings Plan |
| |
Preferred Provider |
Non-Preferred Provider |
| Calendar Year Medical Deductible |
Preferred and Non-Preferred
$2,250 for individual coverage, $4,500 for family coverage |
| Physician Office Visits |
20% |
50% |
| Calendar-Year Brand-Name Drug Deductible |
None |
| Retail Drug Copayments |
20% at any retail
pharmacy (subject to the calendar
year medical deductible) |
To continue learning about Small Group PPO Providers such as Blue Cross, click
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