Network:
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities
🚨⚠️
Intro to America's Choice | BLue Cross Blue Shield NETWORK PPO Plans
VIDEO IS SET TO AUTOPLAY BUT YOU HAVE TO CLICK THE SPEAKER AT THE BOTTOM LEFT CORNER TO ALLOW SOUND.
Training conducted via zoom on April 5, 2024
Blue Cross Blue Shield Ppo (NON-HSA COMPATIBLE)
PLAN NAME
Key plan details
plan network
Summary of benefits (SOB)
$1500 BCBS PPO
PPO
The $1,500 Blue Cross Blue Shield PPO plan includes the below copays, deductibles, and out-of-pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, identity protection and much more.
In Network Deductible – Ind/Fam: $1,500 / $3,000
Out-of-Network Deductible - Ind/Fam: $3,000 / $6,000
In Network Out-of-Pocket Max: $7,350 / $14,700
Out-of-Network Out-of-Pocket Max: $20,000 / $40,000
In Network Primary Office Visit Copay: $25 per visit
In Network Specialty Visit Copay: $40 per Visit
In Network Urgent Care Copay: $60 per Visit
Telemedicine: $0 Copay when using My Live Doc Online Portal
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities
🚨⚠️
$2500 BCBS PPO
PPO
The $2500 Blue Cross Blue Shield PPO Plan includes the below copays, deductibles, and out-of-pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, identity protection and much more.
In Network Deductible – Ind/Fam: $2,500 / $5,000
Out-of-Network Deductible – Ind/Fam: $5,000 / $10,000
In Network Out-of-Pocket Max – Ind/Fam: $7,350 / $14,700
Out-of-Network Out-of-Pocket Max – Ind/Fam: $20,000 / $40,000
In Network Primary Office Visit Copay: $25 per visit
In Network Specialty Visit Copay: $40 per Visit
In Network Urgent Care Copay: $60 per Visit
Telemedicine: $0 Copay when using My Live Doc Online Portal
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities
🚨⚠️
$5000 BCBS PPO
PPO
The $5,000 Blue Cross Blue Shield PPO Plan includes the below copays, deductibles, and out-of-pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, identity protection and much more.
In Network Deductible – Ind/Fam: $5,000 / $10,000
Out-of-Network Deductible- Ind/Fam: $10,000/ $20,000
In Network Out-of-Pocket Max: $7,350 / $14,700
Out-of-Network Pocket Max: $20,000/ $40,000
In Network Primary Office Visit Copay: $25 per visit
In Network Specialty Visit Copay: $40 per Visit
In Network Urgent Care Copay $60 per Visit
Telemedicine: $0 Copay when using My Live Doc Online Portal
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities
🚨⚠️
$7350 BCBS PPO
PPO
The $7,350 Blue Cross Blue Shield PPO Plan includes the below copays, deductibles, and out-of-pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, identity protection and much more.
In Network Deductible – Ind/Fam: $7,350 / $14,700
Out-of-Network Deductible -- Ind/Fam: $14,700 / $29,400
In Network Out-of-Pocket Max: $7,350 / $14,700
Out-of-Network Out-of-Pocket Max: $20,000 / $40,000
In Network Primary Office Visit Copay: $25 per visit
In Network Specialty Visit Copay: $40 per Visit
In Network Urgent Care Copay: $60 per Visit
Telemedicine: $0 Copay when using My Live Doc Online Portal
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities
🚨⚠️
Network:
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities
🚨⚠️
Blue Cross Blue Shield Ppo (HSA COMPATIBLE)
PLAN NAME
Key plan details
plan network
Summary of benefits (SOB)
$5000 HSA BCBS PPO
PPO
The $5,000 HSA Blue Cross Blue Shield PPO Plan includes the below copays, deductibles, and out-of-pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, identity protection and much more.
In Network Deductible – Ind/Fam: $5,000 / $10,000
Out-of-Network Deductible - Ind/Fam: $10,000 / $20,000
In Network Out-of-Pocket Max: - Ind/Fam: $6,550 / $13,100
Out-of-Network Out-of-Pocket Max: $20,000 / $40,000
In Network Urgent Care: Deductible & Coinsurance
Telemedicine: $0 Copay when using My Live Doc Online Portal
(** Telemedicine Copay is Subject to change according to the Consolidated Appropriations Act, 2023.)
🚨⚠️
BLUE CROSS/BLUE SHIELD, BLUE CROSS/BLUE SHIELD OF NEBRASKA, or ANY BCBS affiliate OR company is NOT the owner/administrator or any other related entity to this plan.
BCBS of NE is SOLELY the NETWORK for Providers/Facilities