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Blue Cross of California
Individual & Family Health Plans
The RightPlan PPO 40

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RightPlan PPO 40 BrochureThe RightPlan PPO 40

Quick QuoteFrom BC Life & Health Insurance Company (Blue Cross) has the right benefits and premium pricing for you.

Protect Your Health & Financial Future
Even if you're young, active and healthy, you could be caught off guard by an unexpected illness or injury. Medical care can quickly add up to a staggering financial loss. The RightPlan PPO can help limit your out-of-pocket costs, protect your assets and even safeguard your future earnings. The RightPlan PPO covers more than just an injury or illness. It offers preventive care and access to a variety of programs that help to maintain your health.

Why Pay for Benefits You May Never Use?
Now you can get the affordable health care coverage and financial security you need without the cost of added-on benefits, such as maternity, that you may never use. The RightPlan PPO provides key benefits designed for specific stages of your life. With the RightPlan PPO, you'll enjoy:

  • Dental BlueFirst-dollar coverage with no medical deductible
  • More cost predictability with a low $40 office visit copay
  • Choice of three levels of prescription drug options
  • Lower premiums, because the plan doesn't include benefits you're less likley to use

Save as a Single Policyholder
The RightPlan PPO is designed and priced for single policyholders. This rating structure focuses on the more predictable needs of each individual and is based on the options each individual chooses. The RightPlan's single policyholder pricing structure could result in substantial premium savings.

Monthly RatesSave Even More with Prescription Drug Options
You can reduce your premium even further by choosing the Generic Only or No Prescription Drug options with your plan. For a list of generic drugs on the RightPlan Generic Prescription Drug Formulary, click here.

When you enroll in the RightPlan, you directly benefits from:

  • Low, negotiated provider fees that substantially reduce your out-of-pocket cost
  • Access to over 42,000 network providers
  • Out-of-state and out-of-country emergency coverage
  • A variety of additional services to enhance your life, including health management programs and discounts on health care-related products and services

Apply Online NowHow to Enroll

Enrolling is easy. Submit your application online by clicking the "APPLY NOW" link below. If you have questions and would like an agent to contact you prior to applying then click on the Agent Assist link to the right or give me a call.

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To enroll, you must be:

  • Age 64 3/4 or younger
  • A permanent legal resident of California
  • A U.S. resident for at least the lst 3 months
  • The applicant's spouse or domestic partner, age 64 3/4 or younger
  • The applicant's children (under 19 years of age), or the children (under 19 years of age) of the applicant's enrolling spouse or qualified partner or qualified domestic partner;
  • The applicant's unmarried dependent children between the ages of 19 through 22 ("dependent" as defined by the Internal Revenue Service)
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RightPlan PPO 40 Benefit Matrix
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RightPlan PPO 40 Plan Monthly Rates
Benefit In-Network Out-of-Network
Annual Deductible 0 0
Lifetime Maximum $5,000,000
Annual Out-of-Pocket Maximum
(Combined for In-Network and Out-of-Network)
7,500 7,500
Doctors' Office Visits $40 Copay 50% of negotiated fee plus all excess charges
Professional Services
(X-ray, lab, anesthesia, surgeon, etc.)
40% of negotiated fee 50% of negotiated fee plus all excess charges
Hospital Inpatient
(Overnight Hospital Stays)
40% of negotiated fee plus $500 copay per day/4-day maximum copay per admission All Charges except $650 per day
Hospital Outpatient
(If You Don't Stay Overnight)
40% of negotiated fee plus $500 copay per surgical admission All Charges except $380 per day
Emergency Room Services 40% of negotiated fee 40% of customary and reasonable fees
plus all excess charges
Maternity Not Covered Not Covered
Preventive Care Routine mammogram, Pap and PSA tests $40 office visit plus 40% of negotiated fee

Well Baby and Well Child (trough age 6): $40 office visit plus 40% of negotiated fee

HealthyChecksm Centers: $25/$75 copay for basic/premium screening

Routine mammogram, Pap and PSA tests4: 50% of negotiated fee plus all excess charges

Well Baby and Well Child (through age 6): 50% of negotiated fee plus all excess charges

Ambulance 40% of negotiated fee 50% of negotiated fee plus all charges
Physical/Occupational Therapy; Chiropractic Services 40% of negotiated fee, up to 12 visits per year  
Accupunture/Accupressure
(Combined for In-Network and Out-of-Network)
All charges except $25 per visit, up to 24 visits per year All charges except $25 per visit, up to 24 visits per year
Prescription Drugs In-Network Out-of-Network
RightPlan PPO 40 with No Prescription Drug Coverage (P958) No Prescription Drug Coverage No Prescription Drug Coverage
RightPlan PPO 40 with Generic Prescription Drug Coverage (PE48)
(30-day supply, retail & mail order)
$10 copay generic
(Drugs on Genreic Rx Formulary only)
50% of drug limited fee schedule and all excess charges plus the copay/coinsurance as stated for in-network benefits
(Drugs on Generic Rx Formulary only)
RightPlan PPO 40 with Comprehensive Prescription Drug Coverage (PE49)
(30-day supply, retail & mail order)
Blue Cross Formulary Drugs
$10 copay generic; $20 copay brand-name after annual $500 brand-name prescription drug deductible; 30% of negotiated fee for self administered injectables, except insulin
50% of drug limited fee schedule and all excess charges plus the copay/coinsurance as stated for in-network benefits; subject to the annual $500 brand-name prescription drug deductible
Consider Other Blue Cross of California PPO Plan Links
P O Box 6374 Jackson,WY 83002

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