This preferred provider organization plan offers employers the potential for lower monthly health benefit costs, as well as lower out-of-pocket costs for employees, through an extensive state-wide network of physicians and hospitals, or non-network physicians at a reduced benefit.
Our BlueChoice PPO plan offers the choice of in- or out-of-network benefits. Members have the freedom to choose any health care provider. However, members receive greater benefits and lower costs when medical services are provided by a BlueChoice PPO network physician.
Our PPO plans provide two additional benefits for participating hospitals and physicians. The Prudent Buyer Program is a discount program with participating hospitals and the Participating Physician Program is an agreement with physicians to accept BCBSGA’s determination of “usual, customary and reasonable” (UCR) fees. These programs automatically apply to most out-of-network claims by providing the following added value benefits:
Providers file claims to BCBSGA.
90% of Georgia’s providers accept our predetermined reimbursement as payment in full, minus member deductibles and coinsurance. There is no balance-billing for amounts above UCR.
The Power of Blue (SM) taking care of you
The American Accreditation HealthCare Commission/URAC – BlueChoice PPO has continued to receive full accreditation from the AAHCC/URAC since 1996
Freedom of choice in plan selection for employers with choice of standard plans or customize benefits to fit employer needs
Efficient and accurate claim processing reduces administrative workload
No PCP referral requirement
One of the largest PPO networks in the State of Georgia
National Blue Cross and Blue Shield PPO access
BlueChoice On-Call – 24-hour nurse information line
USA-HealthInsurance® offers affordable medical coverage from Blue Cross Blue Shield and other nationwide insurance companies to provide you with your health insurance needs.
