BlueEdge Benefits

BlueEdge^SM gives employees freedom of choice, flexibility, a broad range of benefits and the largest contracting network in Illinois. Across the country, PPO networks are linked through the BlueCard^® PPO program so it should be easy for employees to find a doctor or hospital when traveling or if some family members live, work or study anywhere in the United States.

When employees receive care from contracting PPO network doctors and hospitals:

Benefits are paid at the highest level.
There are no claim forms to complete.
They are not responsible for any charges above the Blue Cross and Blue Shield negotiated fee or allowable amount.
They do not need a referral to see the doctor of their choice.
Once PPO coverage begins, the only other out-of-pocket expenses are any plan-specific coinsurance payments for covered benefits, plus any charges for non-covered services.

Employees can always choose to receive care from doctors and hospitals outside the network, but benefits will be paid at a lower level.

BlueEdge Benefits Overview

Preventive Care Benefits
Services covered at 100 percent when received in network

Well-child and adult care, including immunizations
Screenings such as cholesterol, breast cancer and cervical cancer

Doctor and Hospital Benefits

Doctor office visits
Hospital and surgical care
Diagnostic testing
Emergency care benefits
Maternity care

Other Coverage

Rehabilitation therapy (physical, speech, occupational therapy)
Mental health and substance abuse treatment
Prescription drug card benefits (with mail service for maintenance medications)
Vision discounts
Hearing aid discounts
Reconstructive surgery following a mastectomy

Utilization Management

Medical Services Advisory (pre-notify inpatient hospital stays)
Mental health/Substance abuse

Learn More About BlueEdge

BlueEdge Product Summary
BlueEdge Benefits
Spending Accounts & the Deductible
Resources
BlueEdge FAQs