What is the BlueCard PPO program?
The BlueCard PPO program allows you freedom of choice when selecting a doctor, outpatient facility, or hospital, even outside of Alabama. This program allows members to access the Preferred Provider Organization (PPO) networks available in each state that participates in the BlueCard PPO Program. When a member receives services from a PPO provider, these services are considered in-network services and enhanced benefits are available. When a member receives services from a non-PPO provider (a physician who does not participate in the PPO program) these services are considered out-of-network services and are covered under Major Medical benefits after your calendar year deductible. In Alabama, the PPO network is comprised of Preferred Medical Doctors (PMD), so you can continue to use your PMD physician and receive the same benefits as you received previously under the Preferred Care program. If your provider is not PMD and the services being rendered are PPO services, the allowance for th
BlueCard PPO is a network partnership with BlueCross and/or BlueShield plans across the country. Through this cooperative arrangement, you receive participating provider discounts and more efficient processing of medical claims. The BlueCard PPO program links each participating provider directly to BlueCross and/or BlueShield plans. This extensive network delivers your claim information electronically from health care providers to Blue plans all across the US.
