BlueClassic is an affordable solution to maximized coverage. It is optimal, extensive and complete, offering members a competitive heath-care package with extended benefits and the lowest out-of-pocket expenses.

• Choice of provider networks
  • Participating, PPP or Access
• Choice of deductible amounts
  • $300, $500 or $1,000
• Copayments for office visits, not subject to deductible
  • Office visits (E&M), preventive services (e.g., women’s, well baby, routine health exams), non-facility urgent care, mental health/chemical dependency office services
    • $20 copayment for visit with Personal Physician
    • $10 copayment for immunization administration (with or without office visit)
      • Serum is covered in full, not subject to deductible or coinsurance
    • $40 copayment for visit with Specialist
  • Other services (diagnostic x-ray, procedures) during visit subject to deductible and coinsurance. Deductible waived on first $500 in-network diagnostic x-ray and lab (coinsurance applies)
• Most services paid at 90% in-network, 70% out-of-network after deductible
  • Ambulance services paid at 80% after deductible met