Blue Choice
Blue Choice is a preferred provider organization (PPO) network designed to work with the same comprehensive benefits available under our traditional benefit plans (such as AffordaBlue, Basic Blue, Comprehensive Major Medical and Shared Pay Comprehensive) with lower premiums - as much as 4 percent lower than standard coverage.
With Blue Choice you have freedom of choice. Not only can you select your personal doctor; you may also go directly to specialists without a referral from another doctor.
Other advantages of Blue Choice:
- Largest statewide network of contracting providers — more than 7,500 medical professionals statewide, and most hospitals in the state.
- Network providers accept our discounted payment allowance for covered services as payment-in-full.
- Emergency services are always paid as Blue Choice network benefits.
- Immediate access to PPO provider discounts (through the BlueCard program) no matter where you travel.
With Blue Choice, we can help you assemble a plan that covers most medical expenses, including: routine office visits, eye exams, prescription drugs, doctor services in and out of the hospital, 100 percent accident coverage on allowed charges, private duty nursing, general hospitalization, intensive care, inpatient radiology services, lab services, anesthesia, operating room charges, physical therapy, plus more.
By using Blue Choice network providers and obtaining pre-admission certification before any planned admission, maximum benefits are available.
If services are not received from Blue Choice network providers payment will be reduced and you will be responsible for any additional out-of-pocket expense. Benefits will be paid according to the maximum Competitive Allowance Program (CAP) allowance, subject to an additional 20 percent coinsurance amount. You will also be responsible for any deductible, coinsurance or shared payment of the program and any non-covered services. In addition, you may also be responsible for any difference between our allowance and the provider’s charge.
Blue Choice also offers the convenience of toll-free telephone numbers you can call for pre-admission certification. This 24 hours a day, 7 days a week cost-savings feature is needed for all planned inpatient care, including care for nervous and mental or substance abuse services.
More Information
- Phone: Learn more about the features of Blue Choice by calling 785-291-4304 in Topeka or toll-free at 1-800-438-1565, 8 a.m. to 4:30 p.m., Monday through Friday.
- E-mail: Send a note to our Blue Choice representative. Please provide a daytime phone number in your message indicating where and when you can be reached. All requests will be responded to via phone within two business days.
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