BLUECARE DIRECT^SM

Chicago-area residents now have a new choice for health care coverage. Blue Cross and Blue Shield of Illinois (BCBSIL) has teamed up with Advocate Health Care* to offer a new, more affordable health plan — BlueCare Direct.

BlueCare Direct. Great Access. More Affordable Coverage.

BlueCare Direct combines the strength, expertise and reputation of two of the state’s most respected leaders in the health industry. Advocate is the largest health system in Illinois, and BCBSIL is the largest health insurer in the state. Advocate is uniquely positioned to deliver quality patient outcomes, while working to manage overall health care costs, with the goal of delivering value to our members. BlueCare may be right for you if you are willing to have a primary care physician (PCP) coordinate your care, prefer or live near an Advocate hospital (Cook, Dupage, Kane, Lake, and Will Counties), are expecting to have surgery or major services in the near future and want the lowest out of pocket costs, or require regular prescription medication.

Below is a quick summary of the SIX BlueCare Direct with Advocate plans – DOUBLE the amount of plans from last year. For more detailed information on each plan, please see the toggles below or download the available pdf summaries

Bronze

Bronze plans may be for you if you have fewer medical needs, would rather have a low monthly payment, and don’t take prescription drugs regularly.

• BlueCare Direct Bronze 401 – $0 individual deductible, 50% coinsurance, and $150 PCP visit.
• *NEW* BlueCare Direct Bronze 802 – $7,500 individual deductible, 50% coinsurance, and $50 PCP visit

Silver

Silver plans may be for you if you want to pay less out-of-pocket for care, qualify for a premium tax credit (also known as a subsidy), have a spouse/children on your health plan, or have regular medical needs.

• BlueCare Direct Silver 212 Rx Copays – $7,500 individual deductible, 50% coinsurance, and $100 PCP visit.
• *NEW* BlueCare Direct Silver 803 – $5,900 individual deductible, 40% coinsurance, and $40 PCP visit.

Gold

Gold plans may be for you if you have more health care needs than most, have a spouse/children on your plan or want to grow your family soon, or prefer to pay more each month but have lower out-of-pocket expenses.

• BlueCare Direct Gold 409 Rx Copays – $2,000 individual deductible, 30% coinsurance, and $40 PCP visit.
• *NEW* BlueCare Direct Gold 804 – $1,500 individual deductible, 25% coinsurance, and $30 PCP visit.

BlueCare Direct provides access to Advocate Health Care’s vast network of doctors and hospitals in Cook, DuPage, Kane, Lake and Will counties. It’s being offered to our individual, family and small group customers on our website. Along with all the features of an HMO, BlueCare Direct offers:

• Lower monthly premiums and lower out-of-pocket costs than most other HMO plans available to individual plan members
• Same-day appointments for primary care**
• Self-refer to specialists within the Advocate network without a PCP referral (except in some instances such as for surgical procedures or physical therapy regimens)
• Same day mammograms, and get the results on the same day**
• See a cardiologist within 24 hours
• Access to Advocate’s network of over 250 sites of care, including:
  • 4,000+ Advocate doctors
  • 11 Advocate community hospitals
  • The state’s largest integrated children’s network
  • The state’s largest home health and hospice companies
  • One of the region’s largest medical groups
  • $65 urgent care copayment
  • Maternity Coverage
  • Well-adult care
  • Well-child care
  • Diagnostic testing
  • Hospital services

BlueCare Direct^SM is a unique product that combines the strength, expertise and reputation of two of the state’s leading health organizations. It provides health care coverage that gives members access to the resources of the largest health care system in Illinois, including:

Advocate Direct Hospital Network

• More than 4,000 Advocate primary care and specialty physicians across Cook, DuPage, Lake, Kane and Will counties
• 11 Advocate hospitals, including Advocate Children’s Hospital with campuses in Park Ridge and Oak Lawn
• Advocate Good Shepherd in Barrington
• Advocate Illinois Masonic Medical Center in Chicago
• Advocate Trinity Hospital in Chicago
• Advocate Good Samaritan Hospital in Downers Grove
• Advocate Sherman Hospital in Elgin
• Advocate South Suburban in Hazel Crest
• Advocate Condell Medical Center in Libertyville
• Advocate Christ Hospital Medical Center and Advocate Children’s Hospital in Oak Lawn
• Advocate General Hospital and Advocate Lutheran General Children’s Hospital in Park Ridge
• Advocate’s home health and hospice agency for transition from hospital to home

Because of its Advocate-exclusive network, BlueCare

BlueCare Direct is ideal for your customers who live and work in the greater Chicago area and have no need to pay more for a network that includes providers in other parts of the state.