Plan Highlights
PPO Select BasicSM Provides:
- $5,000,000 lifetime maximum benefit per person
- Inpatient hospital benefits and professional care
- Outpatient professional care (including office visits, X-rays,
lab and diagnostic services) - 24-Hour, worldwide emergency care
- Well-child care, routine physical, vision and hearing (subject
to deductible) - Immunization benefits (through age seven)
- Human organ and tissue transplant benefits ($300,000 lifetime maximum, subject to $5,000,000 policy maximum).
- Office visits and emergency room visits subject to deductible and coinsurance
- Home health care, hospice and skilled nursing benefits
(subject to limitations) - Age-banded rates for child-only coverage
- Access to one of the largest provider networks in the state, BlueChoice®
- Security of one of the most widely recognized insurance
cards – Blue Cross and Blue Shield of Texas - Blue Cross and Blue Shield of Texas Three-tier pricing prescription drug plan (Prescription Drug Card)
- BlueCard program - Providing access to one of the Nation's largest Preferred Provider Organization (PPO) networks.
- Preventive Care – Up to maximum of $300 per person per calendar year, subject to deductible and coinsurance. This added feature allows policyholders to receive negotiated provider discounts (when using in-network providers) for allowable preventive care services up to the $300 annual maximum.
