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 Value plan.

• Set copay for office exams. After deductible is met, 40% coinsurance (for Alliance Select network providers) for other covered office services keep premiums low
• See any doctor in our extensive Alliance Select PPO network — no referrals needed
• Brand and generic prescription drug coverage with optional mail–order savings
• Preventive and routine care covered up to $250 annually per member
• Worldwide network access through BlueCard

• Contraceptive — Covers oral contraceptives and contraceptive devices that are used to prevent pregnancy
• Dental — Covers diagnostic and preventive care, and major and minor restorative care
• Supplemental Accident — Supplements your regular insurance in case of an accident
• Life Insurance — Low-cost insurance available through USAble Life Insurance Company. Benefit amounts start at $10,000, and premium rates are determined by age and gender
• Vision — 10% to 60% discount on eyeglasses, contact lenses, non-prescription sunglasses, and other vision items. Discounts on eye exams available in many areas. Offered through Avesis, which contracts with more than 10,000 retail optical outlets nationwide

Refer to the Outline of Coverage for more complete details on benefits, limitations, and exclusions. (PDF, 436KB, 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.