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Blue Precision Bronze HMO Plan

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Blue Precision: Bronze HMO Plans: 2027

Our Rating: Blue Precision Bronze HMO Plan

The plans below use the Blue Precision HMO network, one the largest HMO networks in Illinois. You must select a network primary care physician (PCP), who coordinates your care within the network and referrals are required from your PCP to see a specialists. Bronze plans may be for you if you have fewer medical needs, would rather have a low monthly payment, and don’t take prescription drugs regularly.

Below is a summary of the three 2027 Blue Precision Bronze HMO plan options. Please visit the toggles below to see plan information in detail.

There are 3 Bronze HMO plans:

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

    205 701  Standard, Select Rx Copays
    Overall Deductible Individual/Family $7,400 / $14,800 $4,500 / $9,000 $7,500 / $15,000
    Are there services covered before you meet deductible Yes. Yes. Yes.
    Are there other deductibles for specific services No. No. No.
    Out-of-pocket limit Individual/Family** $10,600 / $21,200 $10,150 / $20,300 $10,000 / $20,000
    Will you pay less if you use network provider? Yes. Yes. Yes.
    Referral to see a specialist? Yes. Yes. Yes.

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

    Office Visit / Testing

    205 701  Standard, Select Rx Copays
    Primary Care for injury/illness $65/visit $50/visit $50/visit
    Specialist visit $105/visit $120/visit $100/visit
    Preventative care/screening No Charge No Charge No Charge
    Diagnostic test (xray, blood) $100/lab, $150/xray $250/test 50%
    Imaging (CT/PET/MRI) $300/test $450/test 50%

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

    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

    205 701  Standard, Select Rx Copays
    Generic Drugs (Preferred) 10% $15 / $45 $25 / $75
    Generic Drugs (Non Preferred) 15% $150 / $450 NA
    Brand drugs (Preferred) 20% 35% $50 / $150
    Brand Drugs Non Preferred 30% 40% $100 / $300
    Specialty Drugs Preferred 40% 45% $500
    Specialty Drugs Non Preferred 50% 50% NA

    Outpatient Surgery / Emergency Comparison

    205 701  Standard, Select Rx Copays
    Facility Fee Freestanding $300/visit + 50% $750/visit + 50% 50%
    Facility fee Hospital NA NA N/A
    Physician/surgeon Fee $150/visit $400/visit 50%
    Emergency Room Care 50% 50% 50%
    Emergency Medical Transportation 50% 50% 50%
    Urgent Care $105/visit $120/visit $75/visit

     

    Hospital Stay / Health Services / Pregnancy

    205 701  Standard, Select Rx Copays
    Facility Fee for hospital stay 50% 50% 50%
    Physician/surgeon Fees No Charge No Charge No Charge
    Mental health, behavioral health, or substance abuse services: Outpatient $65 office, 50% other $50 office, 50% other $50 office, 50% other
    Mental health, behavioral health, or substance abuse services: Inpatient 50% 50% 50%
    If you are pregnant, office visit Primary: $65 / Specialist: $105 Primary: $50 / Specialist: $120 Primary: $50 / Specialist: $100
    Childbirth/delivery/professional services No Charge No Charge No Charge
    Childbirth/delivery facility services 50% 50% 50%

     

    Help recovering / other special needs

    205 701  Standard, Select Rx Copays
    Home Health Care No Charge No Charge No Charge
    Rehabilitation Services $65/visit $50/visit $50/visit
    Habilitation services $65/visit $50/visit $50/visit
    Skilled nursing care $500/day $800/day 50%
    Durable medical equipment No Charge No Charge No Charge
    Hospice services 50% 50% 50%

    Childrens Dental / Eye care

     

    205 701  Standard, Select Rx Copays
    Children’s eye exam No Charge No Charge No Charge
    Children’s Glasses No Charge No Charge No Charge
    Children’s Dental check-up Not Covered Not Covered Not 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.)

    205 701  Standard, Select Rx Copays
    Acupuncture Not Covered Not Covered Not Covered
    Dental Care (Adult) Not Covered Not Covered Not Covered
    Long-term Care Not Covered Not Covered Not Covered
    Non-emergency care when traveling outside of US Not Covered Not Covered Not Covered
    Weight loss programs Not Covered Not Covered Not Covered

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

    205 701  Standard, Select Rx Copays
    Abortion care Covered Covered Covered
    Bariatric surgery Covered Covered Covered
    Chiropractic care Covered (25 visits per calendar year) Covered (25 visits per calendar year) Covered (25 visits per calendar year)
    Cosmetic surgery Covered when medically necessary Covered when medically necessary Covered when medically necessary
    Hearing aids Covered (1 per ear every 24 months) Covered (1 per ear every 24 months) Covered (1 per ear every 24 months)
    Infertility treatment Covered (4 procedures per benefit period) Covered (4 procedures per benefit period) Covered (4 procedures per benefit period)
    Private-duty nursing Covered, except inpatient private-duty nursing Covered, except inpatient private-duty nursing Covered, except inpatient private-duty nursing
    Routine eye care Covered (1 visit per benefit period) Covered (1 visit per benefit period) Covered (1 visit per benefit period)
    Routine Foot Care Covered when medically necessary Covered when medically necessary Covered when medically necessary

     

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