BlueChoice Individual Coverage
BlueChoice Individual Coverage
This information applies to BlueChoice for KidsSM or BlueChoice for Young AdultsSM products sold prior to Oct. 1, 2010.
BlueChoice Individual CoverageSM offers:
- 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 toward cleaning (one per benefit period) and $20 toward routine exam (one per benefit period)
Plan 1
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage
Plan 2
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage
Plan 3
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage
Plan 4
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage
Plan 5
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage
Plan 6
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage
Plan 7
- Benefits and Rates Guide for policies issued before March 23, 2010
- Benefits and Rates Guide for policies issued on or after March 23, 2010
- Contract
- Member Guide
- Outline of Coverage