Blue Shield Shield Secure Plus PPO

These plans are for those who are looking for comprehensive coverage that includes low office visit copayments.

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

These plans are for those who are looking for 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. There are 3 deductible options to choose from. Coverage for both brand and generic drugs are provided. The plans also include, hospitalization, ambulance, laboratory Blue Shield of California(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:

  • $30 office visit copayments (unlimited number of visits per calendar year)

  • $10 generic drugs

  • $35 brand formulary drugs (after a $500 annual brand drug deductible)

  • $60 or 50% (whichever is greater) for non-formulary brand drugs (after a $500 annual brand drug     deductible) $150 maximum per prescription

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

  • $5,000, $7,000, or $9,000 out of pocket maximums (includes the medical annual deductible)

  • 30% coinsurance

  • $0 preventive care services (routine annual physical exams)

 

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

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