Traditional health plan, with low member cost-sharing. If you’re willing to pay a little more out-of-pocket and don’t need maternity or mental health and chemical dependency coverage, Alliance Select PPO Silver provides a lower premium payment option. Gives you the simplicity of budgeting for a premium payment, with reasonable cost-sharing at the doctor’s office.

• Preventive and routine care waives deductible, coinsurance, and copayment for the first $500 of covered services per member per benefit period
• Office services, including preventive and routine care ($15 copayment when using Alliance Select network providers)
• See any doctor in our extensive Alliance Select PPO network — no referrals needed
• Choose from five deductible options — a higher deductible means a lower premium rate
• Chiropractic services covered
• Brand and generic prescription drug coverage with optional 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 certificate itself and enrollment regulations in force when the certificate 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.