Blue Advantage Entrepreneur HMO^SM

(2–50 employees)

Advantages

• Members choose a contracting medical group/independent practice association from a large HMO network.
• There is no annual deductible and generally no claim forms.
• Copayment levels are low.

Benefits

Members also enjoy access to a range of benefits when care is provided/coordinated through their primary care provider (PCP).

• Doctor office visits
• Preventive care and wellness services for children and adults such as:
  • Routine physicals
  • Immunizations
  • Tests and screenings for breast and cervical cancer, prostate and colon cancer
• Outpatient surgery and diagnostic tests
• Outpatient and inpatient hospital services and treatments
• Maternity care
• Mental health and substance abuse (inpatient and outpatient)*
• Rehabilitative therapy (physical, speech and occupational)

Other coverage that does not require a PCP referral includes:

• Emergency care
• Out-of-area coverage (traveling/temporarily living out of state)
• Substance abuse treatment (inpatient and outpatient)
• Vision exams, at the cost of an office visit copayment; discounts on lenses, frames and permanent contact lenses, vision correction surgery and disposable contact lenses
• Discounts on hearing aids
• Discounts on chiropractic care, acupuncture, massage therapy and health and wellness products
• Prescription drug card benefit with 90-day supply program for maintenance medications

Network

Blue Advantage HMO is a broad provider network of contracting medical groups/independent practice associations and contracting hospitals at a more affordable cost.

Check with your representative to determine which package is the best fit for your company.

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*Members of Physicians Care Network, Inc. coordinates mental health care directly with the behavioral health network provider.