What Benefits Are Included in Blue Cross Advantage HMO?


Quick Answer

As of December 2015, doctor office visits are benefits included in a Blue Cross Advantage health maintenance organization, according to BlueCross BlueShield of Illinois. Preventative services, such as routine physicals, immunizations and screenings for breast, cervical, prostate and colon cancers, are covered.

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Full Answer

Outpatient coverage is for surgery, diagnostic tests, hospital services and treatments, states BlueCross BlueShield of Illinois. Inpatient hospital services and treatments are included. Maternity care, mental health and substance abuse are part of the benefits. The plan provides rehabilitative therapies, including physical, speech and occupational.

Blue Advantage HMO offers coverage when participants are traveling or temporarily living out of the area, as well as emergency services, BlueCross BlueShield of Illinois explains. There are discounts for vision care, hearing aids and prescriptions.

Blue Advantage HMO allows members to choose their primary care physicians from participating HMO medical groups and independent practice association, continues BlueCross BlueShield of Illinois. These doctors offer basic medical care and prescriptions, They also refer patients to specialists as needed.

The plan has no annual deductible. Members do not have to fill out claims forms.

In some areas, the Blue Advantage HMO plan is available for businesses, BlueCross BlueShield of Illinois shows. Some underinsured and uninsured individuals are eligible, says BlueCross BlueShield of Texas. Certain Medicare participants are also able to sign up for the plan, declares HMO Louisiana.

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