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Preferred Provider Organization Plus - PPO Plus

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PPO Plus is a Capital Blue Cross preferred provider organization (PPO) with an extensive network of physicians and hospitals across the United States. The plan is designed to give access to flat dollar copayments for doctor visits, provide coverage for wellness care, and give you the freedom to receive care without the paperwork hassle of referrals.

In-Network Plan Features
  • Covered individuals may see any provider in the network, including specialists, without selecting a primary care physician or having a referral.

  • Wellness care is covered if it is received from a network provider.

  • Participants pay a small copayment for each doctor visit and 10 percent coinsurance for all other covered in-network services, such as tests and hospitalization. 

  • Participants may also receive services from providers who are not part of the network. However, charges for out-of-network services, if covered, are subject to deductible and coinsurance payments, as well as balance billing by the provider.

Like all of the university’s medical plans, PPO Plus also includes a prescription drug plan (through Express Scripts) and vision care benefits (through DavisVision)

Behavioral (Mental) Health Care
  • As of January 1, 2022, Capital Blue Cross administers the behavioral health coverage under this plan, and will preauthorize behavioral inpatient care and partial hospitalization benefits. To receive reimbursement, services must be preauthorized. Services received out of the plan’s network will be subject to higher deductibles, higher coinsurance payments, and are likely to result in balance billing, as well. PPO Plus participants should call 866-322-1657 to preauthorize visits if services are needed. Participating providers can be found at www.capbluecross.com. More information on this transition can be found here.

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