Low-cost health plan, with higher member cost-sharing. If you’re a healthy person who rarely needs medical services beyond a routine physical or an occasional visit for an illness, but still want the security of coverage for doctor visits and brand-name prescription coverage, check out our Alliance Select PPO Bronze Value plan.

• Most preventive and routine services limited to $500 annually per member per benefit period. Deductible, coinsurance, and copayments are waived for the first $500 of covered preventive and routine services per member per benefit period
• Set copay for office exams. After deductible is met, 40% coinsurance (for Alliance Select network providers) for other covered office services keeps premiums low
• See any doctor in our extensive Alliance Select PPO network — no referrals needed
• Brand and generic prescription drug coverage with mail-order savings
• Worldwide network access through BlueCard

• Dental — Covers diagnostic and preventive care, and major and minor restorative care
• Supplemental Accident — Supplements your regular insurance in case of an accident

Refer to the Outline of Coverage for more complete details on benefits, limitations, and exclusions. (PDF, 822KB, last updated 08/07)

This is a general description of coverage. It is not a statement of contract. Actual coverage is subject to the terms and conditions specified in the policy itself and enrollment regulations in force when the policy becomes effective.

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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.