Explanation of Blue Cross PPO – HMO, Networks, etc. options
from their official brochures.

PPO plans have large provider networks and give employees more choices than an HMO plan, but monthly premiums and deductibles are usually higher. No primary care physician (PCP) is needed. No referrals for other in-network doctors are required. Choosing doctors, hospitals and other covered medical services that are not in-network might cost employees more out-of-pocket.   Prudent Buyer PPO network — Access to nearly 60,000 California doctors and specialists, and more than 330 hospitals
 
 
Select PPO plans give employees access to the same high-quality providers as a PPO, but usually the network is smaller. The monthly premiums and deductible options offer greater value than the standard PPO. No PCP is needed and no referrals for other in-network doctors are required.  Access to more than 40,000 California doctors and specialists, and more than 300 hospitals
Note: Employers may choose only one PPO network.
HMO plans offer network provider choices similar to a PPO, but members must select an in-network primary care physician (PCP) to coordinate their care. Referrals are needed to see other doctors. The monthly premiums and out-of-pocket medical costs are generally lower than other plans.  CaliforniaCare HMO network — Access to more than 42,000 California doctors and specialists, and more than 330 hospitals
Select HMO plans work like a standard HMO, but usually the network is smaller. The monthly premiums and out-of-pocket costs are generally lower than most other plans, offering greater value than the standard HMO. Members must select a primary care physician (PCP) to coordinate their care. Referrals are needed to see other doctors.   Access to more than 26,000 California doctors and specialists, and nearly 250 hospitals   Note: Employers may choose only one HMO network 
 
Employers must select a network for each plan type.   For example, the employer may offer employees plans  available in the Select HMO network  alongside the Prudent Buyer PPO network. Not all network options are available in every area.
 
 
Links – References – Historical

PPO Select Narrow Network     Learn More ⇒ Blue Cross 2015 Sales Guide Page 4

2019 Underwriting GuidelinesBC Website * Anthem SiteBlue Cross Small Group Guide 2016 page 4

The  2017 HMO Network Guide   *  2018   Telehealth Infographic Heal.com  – In Network House Calls  *  Blue Cross Flyer

Blue Cross – Anthem Provider Finder

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