Blue Shield Secure PPO Plans

These plans are for those seeking comprehensive coverage that includes low office visit copayments with an unlimited number of office visits per calendar year and no charge for annual physical exams.

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Shield Secure PPO - (Effective 07/01/2012)
Health Insurance Plans for Individuals and Families

These plans are lower priced than the Shield Secure Plus plans. They include slightly higher coinsurance and a higher brand drug deductible in exchange for the lower monthly premiums. These plans are for those seeking comprehensive coverage that includes low office visit copayments with an unlimited number of office visits per calendar year and no charge for annual Blue Shield of Californiaphysical exams. There are 3 deductible options to choose from. Coverage for both brand and generic drugs are provided. The plans also include, hospitalization, ambulance, laboratory (blood and urine tests) and x-rays, chiropractic and acupuncture coverage, maternity, home health, mental health, and physical therapy benefits all subject to a coinsurance percentage and some limitations after the annual deductible, up to the out of pocket maximum. The out of pocket maximum includes the annual deductible. So in a catastrophic situation, you know the maximum amount you could be liable for. Plan highlights are:

  • Unlimited office visits per calendar year for $25, $40, or $50 copayment depending upon plan

  • $10 generic drugs

  • $35 brand formulary drugs (after a $3,000 annual brand drug deductible)

  • $60 or 50% (whichever is greater) for non-formulary brand drugs. (after a $3,000 annual brand drug     deductible) $150 maximum per prescription

  • $2,000, $4,000, or $6,000 deductible options

  • $6,000, $8,000, or $10,000 out of pocket maximums (includes the medical annual deductible)

  • 40% coinsurance

Benefits stated above are using in network preferred providers only. Click here for provider information.

If you need assistance with individual and family plan options and enrollment, call us today at
(800)560-2443.

 

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