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BluePreferred HSA is a preferred provider organization (PPO) high deductible health plan that is compatible with Health Savings Account (HSA). Together, they provide the flexibility to choose a doctor or hospital while helping to control health care costs. Members save money when they obtain their health care from our large Preferred Provider network, and they can self-refer to any physician or provider in the network.
If members choose to have medical care provided by a physician or hospital outside of the preferred provider network, out-of-network benefits are available for covered services, although they will incur higher out-of-pocket expenses.
Advantages:
- Members do not need to choose a Primary Care Physician (PCP) and will never need a referral.
- Freedom to visit any doctor or hospital outside the network and still be covered. Members will just share more of the cost.
- Access to one of the largest PPO provider networks in the MD, DC, and VA area, with more than 24,000 participating providers.
- Fewer paperwork hassles than traditional plans. All "Select Preferred" Providers and "Participating Providers" will typically file your claims for members.
- No balance billing when using participating hospitals or providers.
- Coverage when you travel. The BlueCard PPO Program allows BluePreferred members to receive in-network benefits while they live or travel outside our service area.
Benefits of your BluePreferred PPO plan includes:
- Annual routine examinations and office visits
- Well-child care and immunizations
- Women's health coverage, such as routine mammograms and Pap tests
- Men's health coverage, including routine prostate cancer screening
- Surgery
- Hospitalization/inpatient services up to 365 days
- Outpatient hospital services
- Emergency care for injury and illness
- Office visits for illness
- Diagnostic tests and X-rays
- Allergy testing and injections
- Home health care
- Hospice care
- Durable medical equipment
- Medical supplies
Advantages of a Health Savings Account:
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Financial control over how health care dollars are spent.
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An interest accruing, tax-deferred savings account that can be used to pay for out-of-pocket medical expenses.
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HSA earnings grow tax-deferred and qualified withdrawals are tax free.
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No "use it or lose it provision" like a flexible spending account (FSA). Money not used in the health savings account can be rolled over to the following year.
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HSA funds can be used for all qualified medical expenses, including traditional medical coverage, as well as eye glasses, dental procedures, prescription drug coverage and over-the-counter medication.
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Members make the decision on where and how to spend their health care funds, while still benefiting from the Blue Cross and Blue Shield provider discounts.
Online Tools and Resources:
My Account - Allows you
to:
My Care First -
Provides health and wellness information along with health risk assessment and
health goal-setting tools.
Options Discount Program -
Learn about discounts on services such as laser vision correction, fitness club
memberships, weight loss programs, cosmetic dentistry and more.
Find a Doctor - This
provider directory is updated every two weeks.
Prescription Drug Information -
Look up your prescription drug coverage levels and learn how to save money on
your prescription drugs.
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For more information about this plan contact your broker or CareFirst sales representative.
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