| Blue Cross of California is part of largest health | | | | HMO plan, your healthcare is organized by a |
| insurance provider in the nation. It has been | | | | primary care physician. This physician is responsible |
| serving the health insurance needs of California | | | | for your routine care and exams, and refers you |
| residents since 1937. Blue Cross of California, | | | | to specialists when needed. HMO plans are |
| together with its branded affiliates, provides health | | | | cheaper than PPO plans, but have a smaller |
| care services to more than 6.8 million members. | | | | network of healthcare providers. |
| There is a reason why Blue Cross is the largest in | | | | To take advantage of the coverage, you have to |
| California. What you will find is coverage options | | | | use providers within the plan's network. This can |
| that are easy to understand, health plans to fit | | | | be an inconvenience if your current doctor isn't |
| everyone's budget, customer service that is | | | | part of the network. But since Blue Cross has one |
| always there to answer your questions and one | | | | of the largest networks in California, finding a |
| of the largest networks of doctors and hospitals. | | | | healthcare provider is easy. Blue Cross even has a |
| Blue Cross of California offers four group of | | | | Provider Finder to help you locate a healthcare |
| health plans, your standard PPO plans, HMO health | | | | professional near you. |
| plans, Lumenos Plans and Short Term Health Plans. | | | | Blue Cross HMO plans have low deductibles. And |
| Preferred Provider Organization plans - PPO plans | | | | some of the plans have no deductible. Doctor |
| for short - save you money when you use | | | | visits have copayments as low as $10. And |
| healthcare providers within a selected network. | | | | generic drugs only cost $10 a prescription, too. |
| Blue Cross has one of the largest PPO networks | | | | Other HMO benefits: |
| in California, with over 48,500 doctors and 465 | | | | - 80% coverage of inpatient hospital fees |
| hospitals. | | | | - Maternity coverage - only a $10 copay for |
| By putting together this network of healthcare | | | | doctor visits |
| professionals, Blue Cross is able to ensure the | | | | - Coverage for physical therapy and chiropractic |
| quality of healthcare services its members | | | | services |
| receive. It's also able to negotiate the price those | | | | - No charge for x-rays and anesthesia when |
| services will be given at - enabling it to pass | | | | related to a doctor's visit |
| savings on to its members. | | | | Because of the controlled costs, budgeting for |
| These plans are ideal for people with a family - or | | | | your healthcare needs is easy. And if you choose |
| people about to start one. They offer coverage | | | | an HMO plan with no deductible, you don't have to |
| for you and your school-age children. They also | | | | pay out for your coverage to kick in. |
| offer maternity benefits. | | | | While HMO plans aren't as flexible as PPO plans, |
| Best of all, most of the services you and your | | | | the savings and the predictability of expenses are |
| family need immediately are covered before you | | | | worth it for most people and families. And if you |
| have to start paying the deductible. This includes | | | | or someone in your family has a pre-existing |
| preventive care, doctor visits, and generic | | | | condition, an HMO plan could be your best option. |
| prescription drugs. | | | | The new Lumenos plans from Blue Cross of |
| Some of the features of Blue Cross PPO plans | | | | California give you control over your healthcare. |
| include: | | | | That means you control where your healthcare |
| - $10 copay on prescription drugs | | | | dollars go. Nothing comes between you and your |
| - Maternity coverage | | | | doctor. And with the Lumenos Health Incentive |
| - Flexible deductible options - as low as $500 | | | | Account plan, Blue Cross will actually reward you |
| - Coverage for physical therapy and acupuncture | | | | for making healthy decisions. |
| - Coverage for "Well Baby" and "Well Child" care | | | | Lumenos is a consumer-directed health plan. That |
| The flexible deductible helps you budget for your | | | | means that instead of relying on your insurance |
| medical needs. The higher the deductible you | | | | company to make health decisions for you, you |
| choose, the lower your monthly premiums. | | | | and your doctor are in control of your healthcare. |
| Like most PPO plans, the Blue Cross plans let you | | | | Once you meet your deductible, the Lumenos |
| use a healthcare provider outside of the network, | | | | plans include 100% coverage for many healthcare |
| and still enjoy some coverage. For most services, | | | | needs, including visits to your doctor, inpatient |
| Blue Cross will still pay up to 50% of the cost of | | | | hospital services, prescription drugs, and maternity |
| healthcare you receive outside the network. But | | | | care. |
| to get full coverage, you should choose a provider | | | | And like all health plans from Blue Cross of |
| within the network. Blue Cross has a provider | | | | California, the Lumenos plans include access to the |
| finder to help you find a professional in your area. | | | | award-winning Blue Cross health management |
| Health Maintenance Organization plans - HMO plans | | | | website. If you have health questions, the Nurse |
| for short - offer affordable coverage with | | | | Advice Line is just a phone call away - and |
| predictable expenses. | | | | available 24 hours day. And the Personal Health |
| HMO plans are able to offer affordable healthcare | | | | Coach Program will give you assistance managing |
| by controlling the costs of elective care. In an | | | | your special health needs. |