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Premier PPO Health Plans

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Solid family protection, designed to be affordable.

 
If you have young children -- or are planning to have a family – you’ll find that Premier PPO health plans were created with your specific needs in mind. Coverage focuses on the preventive care services your family needs to stay healthy. Copays are not only designed to be affordable, they make it easy to predict and plan for your out-of-pocket expenses.  
Designed to fit your health care needs and budget. Choose from six plans with different deductibles ranging from $750 to $20,000. The higher your deductible, the lower your premiums will be.
One of the largest provider networks in Georgia. With more than 34,000 doctors and 165 hospitals, it’s easy to stay within our network for your health care needs. And our negotiated rates will lower your share of medical costs.
Coverage that travels with you. No matter where life takes you, your health coverage goes with you. And providers in our network across the country help make it easy to get the care you need.
No referrals or paperwork. You won’t need a referral to see a specialist. And there are no claims or paperwork when you use one of our network providers.
Preventive care benefits. To help you keep your family healthy, copays are designed to be affordable and apply to routine physical exams, an annual vision exam, health screenings, childhood immunizations and well-child visits.
Built-in prescription benefits. From generic-only savings to brand-name and specialty coverage, benefits are available to help you save on the high cost of prescription drugs.
Optional dental and term life insurance. For extra security, you can choose to add one of our popular dental and term life coverage options.
Experience you can rely on. One of the most trusted names in health coverage, Blue Cross and Blue Shield of Georgia has been providing quality health benefits to state residents for over 70 years.
 
Premier PPO benefits-at-a-glance
This chart is a brief summary of benefits and is not intended to be a full disclosure of benefits.  

 
In-Network 
Out-of-Network 
 
Calendar Year Deductible Choices
(separate deductibles apply for in-network and out-of-network) 
Individual 
$750  
$1,500  
$2,500 
$750  
$1,500  
$2,500 
$5,000 
$10,000 
$20,000 
$5,000 
$10,000 
$20,000 
Family 
$1,500  
$3,000  
$5,000  
$1,500  
$3,000  
$5,000  
$10,000  
$20,000  
$40,000 
$10,000  
$20,000  
$40,000 
Calendar Year Out-of-Pocket Maximum 
Individual 
Your deductible plus
$2,500* 
Your deductible plus
$7,500 
Family 
Your deductible plus
$5,000* 
Your deductible plus
$15,000 
Lifetime Maximum
(maximums are combined for in-network and out-of-network)  
Health Plan pays up to $7 Million per member 
     
Covered Services - These amounts show your share of costs after deductible, if any. 
In-Network 
Out-of-Network 
Doctors’ Office Visits including preventive visits
(Preventive visits for children through age 5 are covered
before the deductible.) 
$35 copayment
Not subject to deductible 
40%
(30% with $10,000 or $20,000 deductible) 
Child Preventive Services (through age 5)
(Services such as immunizations, laboratory testing.)  
%20
Not subject to deductible 
40%
Not subject to deductible 
Preventive Services (age 6 and over)
(Services such as PSA test, Colorectal screening, mammograms,
pap test, flu shot and colonoscopy.) 
%20
Not subject to deductible 
40% 
Professional Services
(x-ray, lab, anesthesia, surgeon, diagnostics, etc.) 
Hospital Inpatient
(overnight hospital stays) 
Hospital Outpatient
(if you don’t stay overnight) 
20%
(0% with $10,000 or $20,000 deductible) 
40%
(30% with $10,000 or $20,000 deductible) 
Emergency Room Services
(Accidental injury or Medical Emergency as defined by BCBSGa) 
20%
(0% with $10,000 or $20,000 deductible) 
Maternity 
NOT COVERED; OPTIONAL COVERAGE AVAILABLE
Separate 12 months waiting Period
 
Physician care - 20%
Hospital Facility - $3,000 copay, not subject to deductible 
Physician care - 40%
Hospital Facility - 30% 
Dental 
Optional coverage available 
Life 
Optional coverage available 
     
Prescription Drug Coverage  
In-Network 
Out-of-Network 
 
Generic Prescription Drug Coverage
(see brochure for more information) 
$15 copay (or 40%, whichever is greater)
Not subject to deductible 
Comprehensive
(Specialty and Brand name)
Prescription Drug Coverage

(see brochure for more information) 
Separate $250 deductible per member per calendar year for
brand-name or specialty drugs


$15 copay or 40% (whichever is greater)
plus difference in allowable charge if Brand is chosen over an available generic

Out of pocket maximum $300 per prescription and $4,000 per person per calendar year 
Need help? Want to know more?
E-mail a licensed Direct Sales Agent or call 888-208-2183, Monday through Thursday from 8:30 to 6:00, and until 4:30 on Friday
You can also contact your local BCBSGA Sales Representative
Get a Rate Quote and Apply Now
Premier PPO Brochure
Premier PPO Plan Comparison
View more information about the Blue View Vision network and benefits
Information regarding the Consumer Choice Option
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.