Smart Sense PPO Individual and Family plan from Blue Cross of California

Is the Smart Sense plan for you?

   Reliable, basic protection with some of our lowest monthly rates
       Choose the annual deductible/monthly rate combination that works for you
       Immediate benefits for first three visits to a doctor
       Choice of prescription drug benefits (Comprehensive Rx or Generic Only Rx)
       No need for maternity benefits
       Health plan pays up to $7,000,000 per member in lifetime benefits

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

QUOTE SMART SENSE PPO PLAN

california individual family health insurance

SmartSense		In-Network	Out-Of-Network
	Annual Deductible	CHOICE: Single Member: $500/$1,500/$2,500/$5,000 Family Max: $1,000/$3,000/$5,000/$10,000	Single Member: $5,000 Family maxium: $10,000
	Annual Out-Of-Pocket Limit	Single Member: $2,500 Family Maximum: $5,000	Single Member: $10,000 Family Maximum: $20,000
	Lifetime Maximum	$7,000,000	$7,000,000
	Office Visits	$30 for first three visits per year; then 30% of negotiated fee	50% of negotiated fee plus all excess charges
	Prescription Drugs	Choice of Generic Only or Comprehensive Please run quote for more information	Choice of Generic Only or Comprehensive Please run quote for more information
	Laboratory and Radiology	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Annual Physical Exam	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Annual OB-GYN Exam	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Well Baby Care	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Outpatient Surgery	30% of negotiated fee	All charges except $380 per day
	Emergency Room	30% of negotiated fee plus $100 (waived if admitted)	50% of customary and reasonable fees plus all excess charges plus $100 (waived if admitted)
	Ambulance	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Home Health Care	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Mental Health Services	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Chiropractic Care	30% of negotiated fee ($500 benefit per year)	50% of negotiated fee plus all excess charges ($500 benefit per year)
	Acupuncture / Acupressure	Not Covered	Not Covered
	Inpatient Co-payment	30% of negotiated fee	All charges except $650 per day
	Maternity Care	Not Covered	Not Covered
	Inpatient Mental Health	30% of negotiated fee	50% of negotiated fee plus all excess charges
	Chemical Dependency	30% of negotiated fee	50% of negotiated fee plus all excess charges

QUOTE SMART SENSE PPO PLAN

California health insurance
New Smart Sense from Blue Cross

BLUE CROSS OF CALIFORNIA
Smart Sense PPO Plan

Blue Cross offers the new Smart Sense health plan for Individuals and Families. It combines benefits for office visits, prescriptions, and a new type of deductible.

Smart Sense PPO Individual and Family plan from Blue Cross of California

California health insurance New Smart Sense from Blue Cross

BLUE CROSS OF CALIFORNIA Smart Sense PPO Plan

Blue Cross offers the new Smart Sense health plan for Individuals and Families. It combines benefits for office visits, prescriptions, and a new type of deductible.

Smart Sense PPO Individual and Family plan from Blue Cross of California

California health insurance
New Smart Sense from Blue Cross

BLUE CROSS OF CALIFORNIA
Smart Sense PPO Plan