PPOBlue HDHP 100/80 $2,600 Deductible

Overview
A PPO, or Preferred Provider Organization, offers two levels of benefits. If you receive services from a provider who is in the PPO network, you’ll
receive the highest level of benefits. If you receive services from a provider who is not in the PPO network, you’ll receive the lower level of
benefits. In either case, you coordinate your own care. There is no requirement to select a Primary Care Physician (PCP) to coordinate your care.
Below are specific benefit levels that apply during your benefit period. This program is designed for individuals who wish to enroll in a qualified
high deductible health plan for use with a Health Savings Account as defined by the Internal Revenue Service.
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Benefits at a glance
Wish to have a printable version of this benefit grid? A simple click will open a pdf version... PPOBlue HDHP 100/80 $2,600 Deductible
The benefit summary outlines the principal features of the program. It
should not be considered the contract of benefits and provisions. Please refer to
your member handbook for a complete description of benefits or contact us for a further explanation.
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Provider Network
To locate a participating provider, please click on the link below.
Rates
To determine premium rates, Highmark Blue Cross Blue Shield uses a demographic rating
method based on the following factors: business location, the number of eligible employees
enrolling, the average age of all covered employees, and industry classification. Please contact
the Council's Employee Benefits Group to determine your specific rates.
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Highmark Disclaimer
Highmark Blue Cross Blue Shield® is an independent licensee of the Blue Cross and Blue Shield Association serving businesses and residents in western Pennsylvania. Highmark® is a registered service mark of Highmark Inc. Blue Cross and Blue Shield® and the cross and shield symbols are registered service marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans. Blues on CallSM is a service mark of the Blue Cross and Blue Shield Association. back to top
This information is not intended for use without professional advice. While we have attempted to make this site as accurate as possible, it is only a summary. For more information, see our disclaimer.  Last updated on: Wednesday, November 16, 2005 Page:
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