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Basic PPO from Blue Cross
California health insurance Individual Health Insurance Guides Basic PPO Hospital plan from Blue Cross of California
 

BLUE CROSS OF CALIFORNIA
BASIC PPO HOSPITAL PLAN


Typically the lowest priced plans, Blue Cross Basic 1000 and 2500 plans offer catastrophic California health insurance primarily for Hospital.
 

 

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Basic PPO Individual and Family plan from Blue Cross of California

Is the Basic PPO plan for you?

       Basic (mainly catastrophic) coverage for hospitalization and emergency services
       Choice of $1,000 or $2,500 medical deductible
       Doctors’ office visits are covered once you meet your out-of-pocket maximum
 

What else do you get?

       Access to over 50,000 California network doctors and specialists and over 400 hospitals
       Money in your pocket – because we’ve negotiated lower fees with our network doctors and hospitals,
        your share of costs is less (a lot less)
       Free health and wellness programs – designed to keep you as healthy as can be
       Out-of-state coverage – so you’ll feel better wherever you are

  Basic PPO 1000  In-Network Out-Of-Network
Annual Deductible   Individual: $1,000 Family: $2,000 Individual: $1,000 Family: $2,000
Annual Out-Of-Pocket Limit   Individual: $3,500 Family: $7,000 Individual: $3,500 Family: $7,000 
Lifetime Maximum   $5,000,000 $5,000,000
Office Visits   No Charge After $3,500 Co-Insurance is Met No Charge After $3,500 Co-Insurance is Met
Prescription Drugs   Not Covered Not Covered
Laboratory and Radiology   20% In-Hospital 50% In-Hospital
Annual Physical Exam   $25 or $75 Co-Pay at HealthyCheck Centers for Basic Screening Not Covered
Annual OB-GYN Exam   20% - Deductible Waived 50% - Deductible Waived
Well Baby Care   No Charge After $3,500 Co-Insurance is Met No Charge After $3,500 Co-Insurance is Met
Outpatient Surgery   20% All Charges Except $380 per day
Emergency Room   20% plus $100 (waived if admitted) 20% of customary and reasonable for the first 48 hours.After 48 hours:All charges except $650/day plus $100*
Ambulance   20% ($750 Maximum ground trip) 50% ($750 Maximum ground trip)
Home Health Care   See Benefit Contract See Benefit Contract
Mental Health Services   See Benefit Contract See Benefit Contract
Chiropractic Care   Covered as In-Patient Only Covered as In-Patient Only
Acupuncture / Acupressure   Not Covered Not Covered
Inpatient Co-payment   20% All Charges Except $650 per day
  Maternity Care Not Covered Not Covered
Inpatient Mental Health  See Benefit Contract See Benefit Contract
Chemical Dependency   All Charges Except $175 per Day (Detox) All Charges Except $175 per Day (Detox)
or
 
  Basic PPO 2500  In-Network Out-Of-Network
Annual Deductible   Individual: $2,500 Family: $5,000 Individual: $2,500 Family: $5,000
Annual Out-Of-Pocket Limit   Individual: $5,000 Family: $10,000 Individual: $5,000 Family: $10,000 
Lifetime Maximum   $5,000,000 $5,000,000
Office Visits   No Charge After $5,000 Co-Insurance is Met No Charge After $5,000 Co-Insurance is Met
Prescription Drugs   Not Covered Not Covered
Laboratory and Radiology   20% In-Hospital 50% In-Hospital
Annual Physical Exam   $25 or $75 Co-Pay at HealthyCheck Centers for Basic Screening Not Covered
Annual OB-GYN Exam   20% - Deductible Waived 50% - Deductible Waived
Well Baby Care   No Charge After $5,000 Co-Insurance is Met No Charge After $5,000 Co-Insurance is Met
Outpatient Surgery   20% All Charges Except $380 per day
Emergency Room   20% plus $100 (waived if admitted) 20% of customary and reasonable for the first 48 hours.After 48 hours:All charges except $650/day plus $100*
Ambulance   20% ($750 Maximum ground trip) 50% ($750 Maximum ground trip)
Home Health Care   See Benefit Contract See Benefit Contract
Mental Health Services   See Benefit Contract See Benefit Contract
Chiropractic Care   Covered as In-Patient Only Covered as In-Patient Only
Acupuncture / Acupressure   Not Covered Not Covered
Inpatient Co-payment   20% All Charges Except $650 per day
  Maternity Care Not Covered Not Covered
Inpatient Mental Health  See Benefit Contract See Benefit Contract
Chemical Dependency   All Charges Except $175 per Day (Detox) All Charges Except $175 per Day (Detox)
basic ppo 1000 and 2500 exclusions blue cross of california ppo providers

QUOTE BASIC PPO 1000 or 2500

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