How does the Blue PPO Plus Plan work?
Blue PPO Plus is a Preferred Provider Organization (PPO) plan that lets your employees see the providers they want to see. They do not have to choose a primary care provider and do not need a referral to see a specialist. Providers are classified as “Preferred” (in-network) or “Nonpreferred” (out-of-network), and the choice of provider will determine the amount of out-of-pocket costs. Members can see the licensed provider of their choice for most covered health care services, but they will pay a higher deductible and higher out-of-pocket costs if they visit Nonpreferred Providers. Some services are only covered if received from a Preferred Provider. For most services, members will have a deductible to meet and will then be responsible for paying coinsurance (a percentage of covered charges).
