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Blue Shield of California
Shield Spectrum PPO 5000 Health Plan |
SHIELD SPECTRUM PPO PLANS - MAKE THE RIGHT DECISION TODAY: |
Comprehensive coverage with one of their lowest monthly PPO premiums |
  Blue Shield of California offers five Blue Shield Spectrum PPO Plan options that make it easy and affordable to get the healthcare you need. Each of the five Shield Spectrum PPO Plans offer unique benefits and advantages. However, as a general rule, the higher the deductible for a plan, the lower its monthly dues. Plans with lower deductibles tend to have higher monthly dues, more generous prescription drug beneftis and lower office visit copayments.
Shield Spectrum PPO Plan 5000 offers you low-cost protection from major healthcare expenses along with the flexibility to visit the doctors and specialists you want ot see. When you receive care from Blue Shield Life PPO preferred providers, your out-of-pocket costs are less. |
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Blue Shield of California's
Shield Spectrum PPO Plan 5000 Advantages
- Preventive care services and generic prescription drugs with a fixed dollar copayment before you meet the annual deductible
- Added protection of $10,000 in Critical Condition Protection
- One of California's largest PPO provider networks
- Over 45,000 doctors and 350+ hospitals in the Blue Shield Network
- Flexibility in choosing a provider
- Many services with a fixed dollar or percentage copayment before meeting the annual deductible
- Wide range of annual deductibles from which to choose
- Copayment/coinsurance maximums to help contain costs
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 Benefits before you meet any deductibles
- Preferred Physician office visits
- Prescription generic drug coverage
- Annual Routine Physical exams
- Injectable contraceptives
- Annual gynecological exam, Pap test and routine mammography
- Well-baby care (through and including age two)
- Immunizations
- Outpatient mental health services for severe mental health conditions
- Chiropractic Services
- Diabetes self-management training
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Do you want freedom to choose your healthcare providers each time you seek care? |
 If your answer is "yes", then a Shield Spectrum PPO Plan might be right for you. You'll have the freedom to visit the doctors and specialists you want to see, and a wide variety of deductible options to meet your needs and lifestyle. When you receive care from Blue Shield PPO healthcare providers your out-of-pocket costs are less
Comparable Plan Option: Blue Cross of California PPO Share 5000
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| Blue Shield of California Spectrum PPO Plans at a Glance |
Plan Options |
Calander Year Deductibles & Copayment Maximums |
Fixed Dollar Copayments
(with Preferred Physicians)
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Percentage
Copayments/Coinsurance
(with Preferred Physicians) |
PPO Plan 500 |
$500 ($1,000 familiy*) |
$30 |
25% |
PPO Plan 750 |
$750 ($1,500 family*) |
$35 |
30% |
PPO Plan 1500 |
$1,500 ($3,000 family*) |
$40 |
30% |
PPO Plan 2000 |
$2,000 ($4,000 family*) |
$45 |
30% |
PPO Plan 5000** |
$5,000 ($10,000 family*) |
$35 |
30% |
*Two or more people. Represents a total of all applicable expenses accrued by covered family members. Family Copayment Maximums are only twice the individual amounts, no matter how many people are covered on the plan. Each covered individual in the family also has his or her own individual deductible, in case only one person needs expensive medical services.
**Embedded in the PPO Plan 5000 is the Critical Condition Benefits. Members who have a first incident of severe heart attack, severe stroke or life-threatening cancer become eligible for this benefit. There are restrictions that apply. Proceeds paid to the subscriber from the critical condition benefit under this policy may be used for non-medical care expenses. Therefore, a portion of your monthly premium allocable to the critical benefit may not be tax deductible. Blue Shield does not provide tax advice and this cannot be considered tac advice. If you have any questions, you should contact your tax advisor. |
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