Blue Choice Preferred Bronze PPO

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Blue Choice Preferred PPO Bronze Plans

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Blue Choice Preferred PPO Bronze Plans offer a respectable PPO network of doctors and hospitals and the convenience of never needing a referral to see a specialist. Blue Choice Preferred PPO Plans are coupled with the Blue Choice Preferred PPO network, a smaller version of the “standard” Blue Cross Blue Shield of Illinois PPO network and the largest PPO network BCBSIL offers to individual health plans. If you can accept some reduced hospital and physician choice, a Blue Choice Preferred Bronze PPO plan may be a great option for you. Because the Bronze plans have the same out of pocket maximum as Gold and Silver plans in 2023, it is actually cheaper to purchase a Bronze plan than Gold or Silver if you had a catastrophic event or were hospitalized.

All Blue Choice Bronze plans offer the same set of essential health benefits, quality and amount of care. The Blue PPO Bronze Plans use the Blue Choice Preferred PPO network, a PPO network that includes over half of doctors and hospitals in Illinois.

Below is a summary of the five Blue Choice Preferred Bronze Plan Options. See toggles below for each plan detail or download the available plan summaries.

Blue Choice Preferred Bronze Plan 201 – $7,000 individual deductible and 50% coinsurance
Blue Choice Preferred Bronze Plan 202 – $4,500 individual deductible and 40% coinsurance
Blue Choice Preferred Bronze Plan 601 – $7,500 individual deductible and 50% coinsurance
Blue Choice Preferred Bronze Plan 701 – $9,000 individual deductible and 50% coinsurance
Blue Choice Preferred Bronze Plan 708 – $7,500 individual deductible and 50% coinsurance

*Discontinued Plans:

Blue Choice Preferred Bronze Plan 302 – $6,350 individual deductible and 40% coinsurance
Blue Choice Preferred Bronze Plan 502 – $5,000 individual deductible and 50% coinsurance
Blue Choice Preferred Bronze Plan 705 – $9,100 individual deductible

Compare the features, options and costs of Bronze® plans to find the one that’s right for you.

Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Illinois family.

See toggles below for plan comparisons. Information is based on Participating Providers. For Non-Participating Provider information, please download the plan summaries listed above.

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Deductibles

	201	202	601	701	708
Overall Deductible Individual/Family	$7,000 / $14,000	$4,500 / $9,000	$7,500 / $15,000	$0	$7,500 / $15,000
Are there services covered before you meet deductible	Yes.	Yes.	Yes.	Yes.	Yes.
Are there other deductibles for specific services	No.	No.	No.	No.	No.
Out-of-pocket limit Individual/Family**	$9,450 / $18,900	$7,500 / $15,000	$9,450 / $18,900	$9,450 / $18,900	$9,400 / $18,800
Will you pay less if you use network provider?	Yes.	Yes.	Yes.	Yes.	Yes.
Referral to see a specialist?	No.	No.	No.	Yes.	No.

**Premiums, balance billing & health care this plan doesn’t cover are not included in the out-of-pocket limit

Office Visit / Testing

	201	202	601	701	708
Primary Care for injury/illness	$45/visit	40%	40%	$150/visit	50%/visit
Specialist visit	50%	40%	50%	$160/visit	$100/visit
Preventative care/screening	No Charge	No Charge	No Charge	No Charge	No Charge
Diagnostic test (xray, blood) Freestanding / Hospital	40% / 50%	30% / 40%	40% / 50%	$250/test	50%
Imaging (CT/PET/MRI) Freestanding / Hospital	40% / 50%	30% / 40%	40% / 50%	$450/test	50%

Generic / Brand / Specialty Drug Comparison

If you need Drugs to treat your illness or condition. For information on whether or not deductibles apply, please download the plan summaries

	201	202	601	701	708
Generic Drugs (Preferred)	$10/$20/$30	20% / 25%	$150 / $450	$100 / $300	$25 / $75
Generic Drugs (Non Preferred)	$20/$30/$60	25% / 30%	$175 / $525	$110 / $330	$25 / $75
Brand drugs (Preferred)	30% / 35%	30% / 25%	$200 / $600	$120 / $360	$50 / $150
Brand Drugs Non Preferred	35% / 40%	35% / 40%	$250 / $750	$175 / $525	$100 / $300
Specialty Drugs Preferred	45%	45%	$275	$275	$500
Specialty Drugs Non Preferred	50%	50%	$500	$500	$500

Outpatient Surgery / Emergency Comparison

	201	202	601	701	708
Facility Fee Freestanding	$600/visit + 40%	$600/visit + 30%	$600/visit + 40%	$750/visit + 50%	50%
Facility fee Hospital	$600/visit + 50%	$600/visit + 40%	$600/visit + 50%	$1,500/day + 50%	50%
Physician/surgeon Fee	$200/visit + 50%	$200/visit + 40%	$200/visit + 50%	$400/visit	50%
Emergency Room Care	$1,000/visit + 50%	$1,000/visit + 40%	$1,000/visit + 50%	$2,000/visit + 50%	50%
Emergency Medical Transportation	50% coinsurance	40% coinsurance	50% coinsurance	50% coinsurance	50%
Urgent Care	$60/visit	40% coinsurance	50% coinsurance	$160/visit	$75/visit

Hospital Stay / Health Services / Pregnancy

	201	202	601	701	708
Facility Fee for hospital stay	$60/visit	$850/visit + 40%	$850/visit + 50%	$1,500/day + 50%	50%
Physician/surgeon Fees	50%	40%	50%	No charge	50%
Mental health, behavioral health, or substance abuse services: Outpatient	50% office / 40% other	40% office / 30% other	40%	$150 office / 50% other	$50 office / 50% other
Mental health, behavioral health, or substance abuse services: Inpatient	$850/visit + 50%	$850/visit + 40%	$850/visit + 50%	$1,500/day + 50%	50%
If you are pregnant – office visit	Primary: $45 / Specialist: 50%	Primary: 40% / Specialist: 40%	Primary: 40% / Specialist: 50%	Primary: $150 / Specialist: $160	Primary: $50 / Specialist: $100
Childbirth/delivery/professional services	50%	40%	50%	No Charge	50%
Childbirth/delivery facility services	$850/visit + 50%	$850/visit + 40%	$850/visit + 50%	$1,500/day + 50%	50%

Help recovering / other special needs

	201	202	601	701	708
Home Health Care	50%	40%	50%	No Charge	50%
Rehabilitation Services	50%	40%	50%	$150/visit	$50/visit
Habilitation services	50%	40%	50%	$150/visit	$50/visit
Skilled nursing care	50%	40%	50%	$800/day	50%
Durable medical equipment	50%	40%	50%	No Charge	50%
Hospice services	50%	40%	50%	50%	50%

Childrens Dental / Eye care

	201	202	601	701	708
Children’s eye exam	No Charge	No Charge	No Charge	No Charge	No Charge
Children’s Glasses	No Charge	No Charge	No Charge	No Charge	No Charge
Children’s Dental check-up	Not Covered	Not Covered	Not Covered	Not Covered	Not Covered

Excluded & Other Covered Services

Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.)

	201	202	601	701	708
Acupuncture	✓	✓	✓	✓	✓
Dental Care (Adult)	✓	✓	✓	✓	✓
Long-term Care	✓	✓	✓	✓	✓
Non-emergency care when traveling outside of US	✓	✓	✓	✓	✓
Routine eye care (adult)	✓	✓	✓	X	✓
Weight loss programs	✓	✓	✓	✓	✓

Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)

	201	202	601	701	708
Abortion care	✓	✓	✓	✓	✓
Bariatric surgery	✓	✓	✓	✓	✓
Chiropractic care	✓	✓	✓	✓	✓
Cosmetic surgery	✓	✓	✓	✓	✓
Hearing aids	✓	✓	✓	✓	✓
Infertility treatment	✓	✓	✓	✓	✓
Private-duty nursing	✓	✓	✓	✓	✓
Routine Foot Care	✓	✓	✓	✓	✓