Blue Choice Preferred Bronze PPO

Blue Choice Preferred Bronze PPO Plans

Blue Choice Preferred PPO Bronze Plans

Our Rating: Blue Choice Preferred Bronze PPO

Blue Choice Preferred PPO Bronze Plans offer a respectable PPO network of doctors and hospitals and the convenience of never needing a referral to see a specialist. Blue Choice Preferred PPO Plans are coupled with the Blue Choice Preferred PPO network, a smaller version of the “standard” Blue Cross Blue Shield of Illinois PPO network and the largest PPO network BCBSIL offers to individual health plans. If you can accept some reduced hospital and physician choice, a Blue Choice Preferred Bronze PPO plan may be a great option for you. Because the Bronze plans have the same out of pocket maximum as Gold and Silver plans in 2023, it is actually cheaper to purchase a Bronze plan than Gold or Silver if you had a catastrophic event or were hospitalized.

All Blue Choice Bronze plans offer the same set of essential health benefits, quality and amount of care. The Blue PPO Bronze Plans use the Blue Choice Preferred PPO network, a PPO network that includes over half of doctors and hospitals in Illinois.

Below is a summary of the four Blue Choice Preferred Bronze Plan Options. See toggles below for each plan detail or download the available plan summaries.

*Discontinued Plans:

  • Blue Choice Preferred Bronze Plan 601 – $7,500 individual deductible and 50% coinsurance

Compare the features, options and costs of Bronze® plans to find the one that’s right for you.Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Illinois family.

See toggles below for plan comparisons. Information is based on Participating Providers. For Non-Participating Provider information, please download the plan summaries listed above. 

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Deductibles

201202701Standard – Select Rx
Overall Deductible Individual/Family$7,000/ $14,000$4,500 / $9,000$8,600 / $17,200$7,500 / $15,000
Are there services covered before you meet deductibleYes.Yes.Yes.Yes.
Are there other deductibles for specific servicesNo.No.No.No.
Out-of-pocket limit Individual/Family**$9,200 / $18,400$7,500 / $15,000$9,200 / $18,400$9,200 / $18,400
Will you pay less if you use network provider?Yes.Yes.Yes.Yes.
Referral to see a specialist?No.No.No.No.

**Premiums, balance billing & health care this plan doesn’t cover are not included in the out-of-pocket limit

Office Visit / Testing

201202701Standard – Select Rx
Primary Care for injury/illness$45/visit40%50%$50/visit
Specialist visit50%40%50%$100/visit
Preventative care/screeningNo ChargeNo ChargeNo ChargeNo Charge
Diagnostic test (xray, blood) Freestanding / Hospital40% / 50%30% / 40%40% / 50%50% 
Imaging (CT/PET/MRI) Freestanding / Hospital40% / 50%30% / 40%40% / 50%50%

 

Generic / Brand / Specialty Drug Comparison

If you need Drugs to treat your illness or condition. For information on whether or not deductibles apply, please download the plan summaries

201202701Standard – Select Rx
Generic Drugs (Preferred)$10/$20/$3020% / 25%$25 / $35$25 / $75
Generic Drugs (Non Preferred)$20/$30/$6025% / 30%$175 / $525$25 / $75
Brand drugs (Preferred)30% / 35%30% / 35%30% / 30%$50 / $150
Brand Drugs Non Preferred35% / 40%35% / 40%40% / 40%$100 / $300
Specialty Drugs Preferred45%45%45%$500
Specialty Drugs Non Preferred50%50%50%$500

Outpatient Surgery / Emergency Comparison

201202701Standard – Select Rx
Facility Fee Freestanding$600/visit + 40%$600/visit + 30%$600/visit +
40%
50% coinsurance
Facility fee Hospital$600/visit + 50%$600/visit + 40%$600/visit + 50%50% coinsurance
Physician/surgeon Fee$200/visit + 50%$200/visit + 40%$200/visit + 50%50% coinsurance
Emergency Room Care$1,000/visit + 50%$1,000/visit + 40%50% coinsurance50% coinsurance
Emergency Medical Transportation50% coinsurance40% coinsurance50% coinsurance50% coinsurance
Urgent Care$60/visit40% coinsurance50% coinsurance$75/visit

 

Hospital Stay / Health Services / Pregnancy

201202701Standard – Select Rx
Facility Fee for hospital stay$850/visit plus 50% coinsurance$850/visit + 40%$850/visit + 50%50% coinsurance
Physician/surgeon Fees50% 40%50%50% coinsurance
Mental health, behavioral health, or substance abuse services: Outpatient50% office / 40% other40% office / 30% other50% office / 40% other$50 office / 50% other
Mental health, behavioral health, or substance abuse services: Inpatient$850/visit + 50%$850/visit + 40%$850/visit + 50%50% coinsurance
If you are pregnant – office visitPrimary: $45 / Specialist: 50%Primary: 40% / Specialist: 40%50% coinsurancePrimary: $50 / Specialist: $100
Childbirth/delivery/professional services50%40%50% coinsurance50% coinsurance
Childbirth/delivery facility services$850/visit + 50%$850/visit + 40%$850/visit + 50%50% coinsurance

 

Help recovering / other special needs

201202701Standard – Select Rx
Home Health Care50%40%50%50% 
Rehabilitation Services50%40%50%$50/visit
Habilitation services50%40%50%$50/visit
Skilled nursing care50%40%50%50% 
Durable medical equipment50%40%50%50% 
Hospice services50%40%50%50%

Childrens Dental / Eye care

 

201202701Standard – Select Rx
Children’s eye examNo ChargeNo ChargeNo ChargeNo Charge
Children’s GlassesNo ChargeNo ChargeNo ChargeNo Charge
Children’s Dental check-upNot CoveredNot CoveredNot CoveredNot Covered

 

Excluded & Other Covered Services

Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.)

201202701Standard – Select Rx
Acupuncture ✓ ✓ ✓ ✓
Dental Care (Adult) ✓ ✓ ✓ ✓
Long-term Care ✓ ✓ ✓ ✓
Non-emergency care when traveling outside of US ✓ ✓ ✓ ✓
Routine eye care (adult) ✓ ✓ ✓ X
Weight loss programs ✓ ✓ ✓ ✓

Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)

201202701Standard – Select Rx
Abortion care ✓ ✓ ✓ ✓
Bariatric surgery ✓ ✓ ✓ ✓
Chiropractic care ✓ ✓ ✓ ✓
Cosmetic surgery ✓ ✓ ✓ ✓
Hearing aids ✓ ✓ ✓ ✓
Infertility treatment ✓ ✓ ✓ ✓
Private-duty nursing ✓ ✓ ✓ ✓
Routine Foot Care ✓ ✓ ✓ ✓

 

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