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

Plan 2

Plan 3

Plan 4

Plan 5

Plan 6

Plan 7