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Plan Name Classic Blue® Blue Select® Blue PrioritySM
Plan Type Traditional Indemnity Preferred Provider Organization (PPO) Consumer-Driven

How Plan Works

Comprehensive plan provides more freedom to choose the providers your employees know and trust.

Offers employees access to an extensive provider network and the freedom to see any provider and still receive benefits.

Combines a qualified high-deductible health plan with a health care account (HSA or HRA) to encourage employees to make cost-conscious decisions.

Network

Access to any hospital or provider

100% of hospitals and 99% of physicians in South Dakota.

BlueCard® Network: More than 90% of hospitals and 80% of doctors nationwide.

Provider Choice Direct access to any hospital or provider with no referral requirements. Participating providers offer lower out-of-pocket costs, file claims, and fulfill notification requirements.
Benefit Levels Benefits for covered services from any provider. In- and out-of-network coverage. Tiered benefit design with levels for care from Blue Select providers and non-PPO providers. Employer and/or employee funds an account to pay for medical expenses. Deductible applies to all services except preventive care. When account is gone, employee is responsible for remaining deductible and out-of-pocket maximum.
Coverage Recommended plan designs include coverage for preventive care, office visits, lab work and X-rays, surgery, hospital stays, and prescription drugs. Customize plan with deductible, coinsurance, and copay choices.
Lifetime Maximum

Unlimited

Prescription Drug Coverage Blue Rx PreferredSM: Prescription drugs are covered with a range of cost share options. Mail Service Program available.

Blue Rx Preferred for HRA.

 

Drugs covered under health for HSA.

Health & Wellness

All plans include Health & Wellness Programs 

 
 
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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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