h޴Vmo�0�+�q�J��I� �߄ٓ�ߌ]�R��7˯���q=�?l�g?ÉnEL�VĬ��������*b8#m�gYd������/ek��f�~5d�m��ZN�aq�m���:������O�CΠ�a���E ��o��9h{_pE��c���씪�B�h� ���ȴ��ӝV[��~��A僷Y�?������)q`��n�sc���R_��~�XA;����+�)VN�R��ÀЭC��C0���z��s����n`���"����K�ȶ��$���Ɂ1p[hA ���`-X�/-�x7-��]nͮہ�ЅA�h1B��B}mW��P����46��V�d �l����� Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association: G518PSN Blue Precision Gold HMO 001 Coverage Period: MM/DD/YYYY-MM/DD/YYYY This is not the insurance contract, and only … Gold Blue Advantage Gold HMOSM Blue Advantage Plus GoldSM 101 101 Plan Pays Member Pays Plan Pays Member Pays Individual Deductible2 $0 $500 $0 $2,750 Coinsurance 70% 30% 80% 20% Out-of-Pocket Maximum (includes deductible)2 $5,250 $3,500 Office Visit (PCP / … This Policy describes the Blue Precision HMO health care benefits that will be provided to you by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Standard Color. To make shopping for health insurance easier, plans you purchase for you and your family are divided into metal tiers: bronze, silver and gold. — This outline of coverage provides a brief description of the important features of your Policy. Summary of Benefits. Deductible (per individual) $750 /yr: Deductible (per family) $2,250 /yr: Max Out-of-Pocket (per individual) $8,150 /yr: Max Out-of-Pocket (per family) $16,300 /yr: Drug Deductible (per individual) Blue Advantage Gold HMO SM 001 Blue Advantage HMO SM Network A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association SOC-IND114 [2] G008 Other Outpatient Lab Other X-Ray Services 100% of Allowable Amount, until Deductible is met. What's not covered. Outline of Coverage Blue Precision Gold HMO 101 . Gold. �@��� ���sH�m�ج�ߑ���v˴����|�rzJ�gO�?l' ��R2̠8�&N,���{s9�@����*��r��f4��ߢ��b�?P���w�!�z-��ӏBb1��ݗ�6��Ҕ�Ֆ�\'�ٗ��$�T�>t�Q�e�� ��pj���ДKEk��V�r HMO. 2016 Illinois Health Insurance Marketplace Dupage/Kane County Metal Level Insurer Plan Marketing Name Plan Type Dupage/Kane Gold Blue Cross Blue Shield of Illinois Blue Precision Gold HMO 101 HMO Get directions. It is im­ portant to remember that benefits will only be provided for services or supplies The Blue Precision HMO Plans use the Blue Precision HMO network, one the largest HMO networks in Illinois, including Northshore University Hospital Systems. BlueCare Dental PPO (Small Group) Plans. Blue Precision Silver HMO 102. S506 OPT (formerly S504 OPT) S507 OPT HSA (replacing S503 OPT) Blue Choice Preferred PPO GOLD. This website is operated by Geozoning, Inc DBA HealthSherpa Insurance Agency and is not the Health Insurance Marketplace website. Blue Cross features Precision Blue, a plan with local doctors and hospitals to meets your family's needs. Blue Cross Blue Shield Premier 101, a Multi-State Plan. 801 S. Washington Street, Naperville, Illinois 60540. We all know gold costs more than silver, and silver costs more than bronze. Your clients’ PCPs provide basic health care needs and arrange any added care. 32 0 obj <> endobj x�eR�n�0��>��ci%��F�ЇJ��^R�b,C�}��֬gf���y�Z�f ���D �% ��� 86�"1���E[iϷ�r�hUw^������j+�. Health insurance prices are regulated by your state’s Department of Insurance, and the price that you pay will be exactly the same no matter where you buy insurance – whether it’s online, over the phone, from the state or federal exchange, or even directly from an insurance company. — This outline of coverage provides a brief description of the important features of your Policy. k�])~0'hW����s�UL��ћ��g�ER3:��V7�Ph�|�Km��~���?���U�;Uڎ3�D\�Op2��2xs�� jx�&o��@��i[}�6k�,�^���L�^��[xk�k Y)w!�S!|��*�I!4�� B=��B����!��Vj=L��:B�$hi��!������P��)�)�O�p����˾,qo���;ƥv��l�Ի�刋�d�5����|C��5�h���� ;C��{���/�$M�ۇu=��S^�=nH�#�?��` �{� View map. h�b```�\�9B ���� Blue Precision Gold HMO SM 001 Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: HMO. Insurance carriers and plans accepted at Advocate Health Care facilities vary by hospital. 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