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PPO plans let you choose where you go for care, without needing a referral from a primary care provider (PCP) or relying only on providers in your plan's network. They typically have higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles.
See what Blue Cross Blue Shield of Texas plans have to offer you. Explore employer, individual, family, Medicare and Medicaid options available for you. BCBSTX offers individual, family, Medicare and Medicaid plans with COVID-19 coverage.
PPO stands for Participating Provider Option. It's a type of health plan that lets you choose where you go for care, without a referral from a primary care physician or having to only use providers in your plan's provider network.
Benefits of MyBlue Health. With a MyBlue Health plan, you'll have low-cost scheduled in-person and telehealth PCP appointments at select PCPs. The MyBlue Health plan may also give you access to: Certain X-rays, ultrasounds and ECGs. Testing for allergies.
BCBSTX offers a variety of PPO plans with varying deductible, coinsurance and copayment amount options. All plans include an outpatient prescription drug benefit with either a three-tier or four-tier pharmacy copay design.
Links to Summaries of Benefits & Coverage (SBC), Benefit Highlights and Plan Comparison Charts for all Blue Cross and Blue Shield of Texas (BCBSTX) qualified health plans in the under 65 retail market.
Preferred urgent care: $25 copayment; PPO and Non-PPO emergency room care: 30%* of our allowance (deductible applies); Regular benefits for physician and hospital care* provided in other than the emergency room/PPO urgent care center. Maternity: Ambulance transport services: 30%* of our allowance (deductible applies)
Here's what they mean: PPO stands for preferred provider organization. HMO stands for health maintenance organization. POS stands for point of service. All these plans use a network of doctors and hospitals. The difference is how big those networks are and how you use them.
Explore the different types of Medicare plans offered by BCBS companies and find coverage that fits your health care needs. Find a doctor near me. Get help from Blue Cross and Blue Shield to find a doctor or specialist. Enter your location information and connect with a doctor near you.
PPO: $50 copayment for urgent care; $350 copayment for emergency room care. Non-PPO: $350 copayment for emergency room care; you pay all charges for care in settings other than the emergency room. Ambulance transport services: $100 per day for ground ambulance; $150 per day for air or sea ambulance. 90 - 91. Emergency benefits: Medical emergency.