PPO Select Blue Advantage Series III

Policy Form Number: PPO-SELBLUE-ADV-3

Individual Benefits for Individual Needs
PPO Select Blue Advantage Series III, from Blue Cross and Blue Shield of Texas, offers choice and flexibility for individual health care coverage. It is not a pre-packaged, one-size-fits-all health insurance plan, but rather health coverage that gives you a selection of benefits to fit your health care coverage needs now and the flexibility to fit your needs in the future.

And because PPO Select Blue Advantage Series III is offered by Blue Cross Blue Shield of Texas, you know you are getting coverage you can count on from a company you know and trust. We believe we lead the insurance industry in providing quality products and customer service. After all, Blue Cross Blue Shield of Texas has been providing health care coverage to Texans since 1939 and is one of the largest non-invester owned health coverage companies in the state.

Affordable? You Decide
PPO Select Blue Advantage Series III offers you many choices that help you control the monthly cost of your insurance protection and limit your out-of-pocket health care costs, including the choice of deductibles and your choice of health care providers. With eight plan options to choose from, PPO Select Blue Advantage Series III is flexible enough to meet your individual needs, family situation, and your budget. Premiums are based on plan option, age, sex, geographic location and number of family members to be covered. The higher deductible you choose, the lower your premiums can be! Initial rates are guaranteed for six months except for entry into a premium age bracket due to a birthday or a change in residence that results in a different rate.

Plan Highlights

PPO Select Blue Advantage Series III Provides:

• Affordable, cost effective health coverage
• Freedom to choose doctors and hospitals
• Choice of deductibles
• Choice of out of pocket security provisions
• Three-tier prescription drug program
• Individual, spouse and child(ren) coverages available
• 24-hour, worldwide emergency care
• BlueCard PPO benefits
• Prescription Drug Card
• Lifetime max is $5 million per person
• Organ/tissue transplant - $300,000 lifetime per person

Plan Details

• General Benefits
• Preventive Care
• Child-Only Coverage
• Prescription Drug Program
• Outline of Coverage