BlueChoice HealthPlan

BlueChoice for Kids and Young Adults

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This information applies to BlueChoice for Kids or BlueChoice for Young Adults products sold prior to October 1, 2010.

BlueChoice Individual Coverage offers the following:

• Doctor's office visits
• Routine Preventive Office Services
• Prescription drug card -- copayment for generic drugs, preferred drugs and non-preferred drugs
• Vision care -- free annual eye exam
• Dental care -- $30 towards cleaning (one per benefit period) and $20 towards routine exam (one per benefit period)

Plan 1

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage

Plan 2

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage

Plan 3

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage

Plan 4

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage

Plan 5

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage

Plan 6

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage

Plan 7

• Benefits and Rates Guide
• Contract
• Member Guide
• Outline of Coverage