Blue Cross Blue Shield of Wisconsin – Discontinued Plans

Blue Advantage Bronze HMO Plan

The Bronze HMO Plan 006 is the least expensive HMO plan, but also includes comprehensive benefits. Bronze Plans have a lower monthly premium and often higher out-of-pocket costs than Platinum, Gold, and Silver plans. This is an HMO plan. You must select a Blue Advantage HMO Network Primary Care Physician (PCP) when enrolling in this plan.

There are 2 BCBSWI Bronze HMO Plan Options:

• Bronze HMO 005 – $5,000 deductible and 80% coinsurance
• Bronze HMO 005 – $6,000 deductible and 100% coinsurance

HMO Network

The The Bronze HMO Plans use the Blue Advantage HMO network, one the largest HMO networks in Wisconsin. You must select a network primary care physician (PCP), who coordinates your care within the network and referrals are required from your PCP to see a specialists.

To find a BCBSWI Blue Advantage HMO Provider, use the Provider Finder and choose “Blue Advantage HMO” under Network.

Key Bronze HMO ^® Plan features include:

• Lower out-of-pocket costs than PPO plans
• You must select a netowrk primary care physician (PCP), who coordinates your care within the network
• Referral required to see a specialist
• Reduced doctor visit payments for using Blue Advantage HMO Network primary care physicans (PCPs) and specialists
• Prescription drug coverage
• Maternity Coverage
• Well-adult care
• Well-child care
• Diagnostic testing
• Hospital services
• Access to the BlueCard PPO network when traveling out-of-state
• Optional dental coverage

Bronze^® HMO Plans may be right for you if you are an individual or family who:

• Are willing to have a primary care physican (PCP) coordinate your care
• Would like the lowest cost plan to protect yourself against major accidents and want to keep your insurance costs down
• Are in generally good health and not expecting to have surgery or major services in the near future

Key Bronze HMO ^® Plan features include:

• Lower out-of-pocket costs than PPO plans
• You must select a netowrk primary care physician (PCP), who coordinates your care within the network
• Referral required to see a specialist
• Reduced doctor visit payments for using Blue Advantage HMO Network primary care physicans (PCPs) and specialists
• Prescription drug coverage
• Maternity Coverage
• Well-adult care
• Well-child care
• Diagnostic testing
• Hospital services
• Access to the BlueCard PPO network when traveling out-of-state
• Optional dental coverage

Bronze^® HMO Plans may be right for you if you are an individual or family who:

• Are willing to have a primary care physican (PCP) coordinate your care
• Would like the lowest cost plan to protect yourself against major accidents and want to keep your insurance costs down
• Are in generally good health and not expecting to have surgery or major services in the near future

2017 BCBSWI BlueValue Advantage HMO – Hospital Network List

Blue Choice Gold PPO Plans

Blue Choice Gold Plans are the most popular BCBSWI individual plans. They use the BlueChoice PPO Network, the largest BCBSWI PPO network in Wisconsin.

There are 3 Blue Choice PPO Gold Plan Options:

• Blue Choice Gold Plan 001 – $3,250 individual deductible and 100% coinsurance
• Blue Choice Gold Plan 002 – $1,500 individual deductible and 80% coinsurance
• Blue Choice Gold Plan 011 – $1,000 individual deductible and 80% coinsurance

Key Blue Choice Gold^® plan features include:

• $30 doctor visit copayment for Blue Choice Gold Plan 001 and Blue Choice Gold Plan 011
• $10 doctor visit copayment for Blue Choice Gold Plan 002
• Prescription drug coverage
• Maternity Coverage
• Well-adult care
• Well-child care
• Diagnostic testing
• Hospital services
• Access to the BlueCard PPO network when traveling out-of-state
• Optional dental coverage

Use the Provider Finder to search for physicians and hospitals in the BlueChoice network.

Blue Choice Gold^® may be right for you if you are an individual or family who:

• Seeks coverage comparable to what is offered by employers
• Prefers fixed doctor visit copayments
• Regularly visits a doctor
• Requires regular prescription medication

Blue Choice PPO Silver Plans

Blue Choice Silver PPO Plans< are the second most popular BCBSWI individual plans. Like the BlueChoice Gold PPO Plans, Blue Choice Silver PPO Plans include access to the Blue Choice PPO network, the largest PPO network in Wisconsin.

There are 2 Blue PPO Blue Choice Silver Plan Options:

• Blue Choice Silver Plan 003 – $6,000 individual deductible and 100% coinsurance
• <blue Choice Silver Plan 004 – $3,000 individual deductible and 80% coinsurance

Key Blue Choice Silver^® plan features include:

• $30 doctor visit copayment for Blue Choice Silver Plan 003
• $35 doctor visit copayment for Blue Choice Silver Plan 004
• Prescription drug coverage
• Maternity Coverage
• Well-adult care
• Well-child care
• Diagnostic testing
• Hospital services
• Access to the BlueCard PPO network when traveling out-of-state
• Optional dental coverage

Use the Provider Finder to search for physicians and hospitals in the BlueChoice network.

Blue Choice Bronze Plans – (HSA Compatible)

Blue Choice Bronze PPO Plans are catastrophic plans that are health savings account (HSA) eligible. Bronze Plans have a lower monthly premium and often higher initial out-of-pocket costs than silver plans. In most cases, Bronze plans cover 80% of costs, while you cover 20%. Blue Choice PPO Bronze Plans include access to the Blue Choice PPO network, the largest PPO network in Wisconsin.

There are 2 Blue Choice PPO Bronze Plan Options:

• Bronze Plan 005 – $5,000 individual deductible and 80% coinsurance
• Bronze Plan 006 – $6,000 individual deductible and 100% coinsurance

Key Blue PPO Bronze^® plan features include:

• 80% coinsurance after deductible for the Bronze Plan 005
• 100% coinsurance after deductible for the Bronze Plan 006
• Prescription drug coverage after deductible is met
• Maternity Coverage
• Well-adult care covered at 100%, no deductible
• Well-child care, covered at 100%, no deductible
• Diagnostic testing
• Hospital services
• Access to the BlueCard PPO network when traveling out-of-state
• Optional dental coverage

Blue PPO Bronze^® may be right for you if you are an individual or family who:

• Seeks lower cost coverage
• Does not regulary have doctor visits
• Would like an HSA compatible plan

To find if your doctor or hospital is part of the Blue Choice Network Provider Finder.

SelectTemp PPO (short-term medical)

SelectTEMP PPO is an affordable short-term individual health plan that provides basic protection against unexpected accident or illness. Individuals who are temporarily without health insurance because COBRA is too expensive, are in-between jobs, or waiting for employer coverage to begin find SelectTEMP PPO to be an affordable alternative.

SelectTEMP PPO offers various benefit periods and deductibles to allows you the control to tailor coverage, premium rates and out-of-pocket expenses according to your own needs. You are able to choose:

• The date you want coverage to begin
• The coverage period – 1 to 11 months
• The deductible – from $500 to $5,000
• From over 200 Illinois hospitals