Pre-Affordable Care Act
Below is a list of actual policy documents for Pre-Affordable Care Act – individual grandfathered or grandmothered plan – market coverage. These policies describe how the plans generally work and include eligible expenses, claim filing and appeals procedures, and coverage limitations and exceptions, among other things.
While BCBSIL is posting every actual insurance policy as soon as it becomes available, including policies that contain customized benefit designs, your policy may not yet be available. If you are unable to locate your policy below, you may find it helpful to view one of the sample policies on the previous page, and you can also contact a customer service representative at 1-800-538-8833 for more information.
Policy Documents
- BlueChoice Select
- BlueChoice Select RX
- BlueChoice Value
- BlueEdge HSA 100%
- BlueEdge HSA 5000
- BlueEdge HSA 80%
- BlueValue 1 80%
- BlueValue 100%
- BlueValue 2 80%
- BlueValue 80%
- BlueValue Advantage
- SelectBlue 100%
- SelectBlue 100% RX
- SelectBlue 80%
- SelectBlue 80% RX
- SelectBlue Advantage
- SelectBlue Advantage RX
Return to Sample Policy Documents