Group Benefits

BCBSIL > BlueAdvantage HMO Value Choice > Non-Grandfathered


Plans Currently MarketeD nON-GRANDFATHERED
 
 
Plans Including $15/$30/$50 Copay Drug Card
Option Highlight Sheet
This Drug Card services the following BA HMO Value Choice Plans
Plan MD/WELLNESS/Specialist Office Copayment

1st 3
Days/CALENDAR YR Inpatient
Hospital Copayment

 Emergency Room
Copayment		 Download
RHVHV023 $40/$0/$60 $500 $250 English
RHVHV033 $50/$0/$70 $750 $300 English
 
Plans Including $15/35%/50% Copay Drug Card
Option Highlight Sheet
This Drug Card services the following BA HMO Value Choice Plans
Plan MD/WELLNESS/Specialist Office Copayment

1st 3
Days/CALENDAR YR Inpatient
Hospital Copayment

 Emergency Room
Copayment		 Download
RHVHV024 $40/$0/$60 $500 $250 English
RHVHV034 $50/$0/$70 $750 $300 English
 
Plans Including $10/$40/$60 Copay Drug Card
Option Highlight Sheet
This Drug Card services the following BA HMO Value Choice Plans
Plan MD/WELLNESS/Specialist Office Copayment

1st 3
Days/CALENDAR YR Inpatient
Hospital Copayment

 Emergency Room
Copayment		 Download
RHVHV026 $40/$0/$60 $500 $250 English
RHVHV036 $50/$0/$70 $750 $300 English
 
 
 
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