BlueValue^SM

Budget-Conscious Plans

BlueValue Plan Comparison Chart

Benefit Highlight	BlueValue^SM	BlueValue Advantage^SM		BlueChoice^SM Value
Participating providers Participating Providers The preferred providers covered at 100% of eligible benefits.	PPO Network 90% of IL doctors; over 200 IL hospitals			BlueChoice network¹
Individual Deductible Annual deductible The amount you must pay before your plan begins paying.
$250	√	√
$500	√	√
$1,000	√	√
$1,750		√
$2,500	√	√
$5,000	√	√
Individual Out-of-Pocket Expense Limit Out-of-pocket expense limit The maximum amount you will have to pay per year in addition to any applicable deductibles.	$1,000	$3,000
Well-Child Care	You pay 0% or 20%	You pay 20%
Coinsurance Coinsurance The percentage you pay for services after your deductible and applicable copayments are met.	You pay 0% or 20%	You pay 20%
Optional Maternity Coverage Coinsurance	You pay 0% or 20%	You pay 20%
Prescription Drugs	You pay 20%
	Outline of Coverage	Outline of Coverage	Outline of Coverage

1. The BlueChoice network allows you to save on premiums and the cost of covered services when you use a contracting BlueChoice hospital, doctor or specialist. You do not need to select a primary care physician or obtain a referral to see a specialist.

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