Below is a list of actual policy documents for Mid-Market coverage. These policies describe how the plans generally work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.
If you have questions, contact a customer service representative at 1-888-697-0683 for more information.
Return to Sample Policy Documents
Blue Choice PPO
- Blue Choice PPO 250
- Blue Choice PPO 002
- Blue Choice PPO 506
- Blue Choice PPO 051
- Blue Choice PPO 011
- Blue Choice PPO 507
- Blue Choice PPO 509
- Blue Choice PPO 514
- Blue Choice PPO 515
- Blue Choice PPO 512
- Blue Choice PPO 519
- Blue Choice PPO 516
- Blue Choice PPO 518
- Blue Choice PPO 523
- Blue Choice PPO 524
- Blue Choice PPO 520
- Blue Choice PPO 522
- Blue Choice PPO 525
- Blue Choice PPO 526
- Blue Choice PPO 527
- Blue Choice PPO 528
- Blue Choice PPO 529
- Blue Choice PPO 531
- Blue Choice PPO 533
- Blue Choice PPO 532
- Blue Choice PPO 536
- Blue Choice PPO 534
- Blue Choice PPO 537
- Blue Choice PPO 535
- Blue Choice PPO 539
- Blue Choice PPO 538
- Blue Choice PPO 542
- Blue Choice PPO 541
- Blue Choice PPO 553
- Blue Choice PPO 543
- Blue Choice PPO 546
- Blue Choice PPO 544
- Blue Choice PPO 545
- Blue Choice PPO 049
- Blue Choice PPO 508
- Blue Choice PPO 547
Blue Choice PPO Basic
- Blue Choice PPO Basic 250
- Blue Choice PPO Basic 002
- Blue Choice PPO Basic 051
- Blue Choice PPO Basic 011
- Blue Choice PPO Basic 514
- Blue Choice PPO Basic 519
- Blue Choice PPO Basic 523
- Blue Choice PPO Basic 524
- Blue Choice PPO Basic 525
- Blue Choice PPO Basic 526
- Blue Choice PPO Basic 528
- Blue Choice PPO Basic 531
- Blue Choice PPO Basic 532
- Blue Choice PPO Basic 536
- Blue Choice PPO Basic 535
- Blue Choice PPO Basic 539
- Blue Choice PPO Basic 538
- Blue Choice PPO Basic 542
- Blue Choice PPO Basic 544
- Blue Choice PPO Basic 545
- Blue Choice PPO Basic 049
Blue Choice PPO HSA
- Blue Choice PPO HSA 004H
- Blue Choice PPO HSA 005H
- Blue Choice PPO HSA 006H
- Blue Choice PPO HSA 317H
- Blue Choice PPO HSA 310H
- Blue Choice PPO HSA 007H
- Blue Choice PPO HSA 014H
- Blue Choice PPO HSA 012H
- Blue Choice PPO HSA 016H
- Blue Choice PPO HSA 011H
- Blue Choice PPO HSA 008H
- Blue Choice PPO HSA 015H
- Blue Choice PPO HSA 009H
- Blue Choice PPO HSA 013H
- Blue Choice PPO HSA 301H
Blue Essentials
- Blue Essentials 001
- Blue Essentials 250
- Blue Essentials 002
- Blue Essentials 506
- Blue Essentials 011
- Blue Essentials 507
- Blue Essentials 509
- Blue Essentials 514
- Blue Essentials 512
- Blue Essentials 519
- Blue Essentials 516
- Blue Essentials 517
- Blue Essentials 523
- Blue Essentials 524
- Blue Essentials 521
- Blue Essentials 525
- Blue Essentials 526
- Blue Essentials 527
- Blue Essentials 528
- Blue Essentials 531
- Blue Essentials 532
- Blue Essentials 536
- Blue Essentials 534
- Blue Essentials 535
- Blue Essentials 539
- Blue Essentials 540
- Blue Essentials 538
- Blue Essentials 542
- Blue Essentials 543
- Blue Essentials 545
- Blue Essentials 544
- Blue Essentials 049
- Blue Essentials 508
- Blue Essentials 547