What is a shared cost PPO?

What is a shared cost PPO?

With Shared Cost Blue PPO 1000, members have a fixed copay for some services, like doctor visits, prior to meeting the deductible. For less common services, individuals pay 100% of costs of most covered services until the deductible of $1,000 for individuals or $2,000 for families has been reached.

What is Highmark Community Blue PPO?

Community Blue Medicare PPO is a Medicare Advantage Preferred-Provider Organization plan that gives you coverage for every need— health, prescription drugs, routine dental, vision, hearing, and preventive care. Highmark Senior Health Company is a PPO plan with a Medicare contract.

What is Preferred Blue PPO?

Worldwide Emergency Care. BluePreferred PPO covers you anytime, anywhere, for emergency care. You will be responsible for your emergency room copayment and/or coinsurance. Your copayment will be waived if you are admitted to the facility.

What is Blue Shield full PPO?

Full PPO Network This benefit plan uses a specific network of health care providers, called the Full PPO provider network. Providers in this network are called participating providers. You pay less for covered services when you use a participating provider than when you use a non-participating provider.

Does UPMC accept Highmark PPO Blue?

UPMC provides most Highmark members with full, in-network access to UPMC hospitals, doctors, and services and accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan.

Does PPO have copay?

Because PPO plans don’t require a PCP, they offer more convenience but can also be more expensive. If you choose a copay PPO plan, you will have to pay a copay (a fixed dollar amount) each time you visit a provider. Generally, a PPO plan with a copay has lower premiums than a comparable non-copay plan.

Does BCBS PPO have a deductible?

PPO plans usually have two deductibles—in network and out of network—but you only pay toward one at a time. If you get care that results in Level 2 cost share, what you pay goes toward your Level 2 and your Level 1 deductible.