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Benefit Highlight Health Check HSA Out of Pocket Max 5,000 10,000 Health Check HSA Out of Pocket Max 4,000 8,000 Health Check HSA Out of Pocket Max 3,000 6,000 Health Check HSA Out of Pocket Max 5,000 10,000 Health Check HSA Out of Pocket Max 3,500 7,000 Health Check HSA Out of Pocket Max 2,500 5,000
Annual Deductible (+ Individual Co-insurance Max, when applicable)
Affects premium and benefits
Coverage Level
Affects premium and benefits
Include Optional Dental Coverage





Include Optional Maternity Coverage





Monthly payments
  Brochure PDF
 
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1. Health Check Basic

Network (Co-insurance): Blue Preferred PPO (80%), Blue Choice PPO (70%), Blue Traditional PPO (60%), Out of Network (50%)
Office Visit Co-pay: $35
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Stop-loss: Out-of-pocket Limit: $10,000N/A
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

2. Health Check Select

Network (Co-insurance): Blue Choice PPO (80%), Blue Traditional (70%)
Office Visit Co-pay: $15
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Stop-loss: Out-of-pocket Limit: $5,000N/A
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

3. Health Check HSA Out of Pocket Max 5,000 individual, 10,000 family, 80% coinsurance

Network (Co-insurance): Blue Choice PPO (80%), Blue Traditional (60%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Out-of-pocket Limit: $5,000$10,000
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

4. Health Check HSA Out of Pocket Max 4,000 individual, 8,000 family, 80% coinsurance

Network (Co-insurance): Blue Choice PPO (80%), Blue Traditional (60%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Out-of-pocket Limit: $4,000$8,000
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

5. Health Check HSA Out of Pocket Max 3,000 individual, 6,000 family, 80% coinsurance

Network (Co-insurance): Blue Choice PPO (80%), Blue Traditional (60%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Out-of-pocket Limit: $3,000$6,000
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

6. Health Check HSA Out of Pocket Max 5,000 individual, 10,000 family, 100% coinsurance

Network (Co-insurance): Blue Choice PPO (100%), Blue Traditional (100%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Out-of-pocket Limit: $5,000$10,000
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

7. Health Check HSA Out of Pocket Max 3,500 individual, 7,000 family, 100% coinsurance

Network (Co-insurance): Blue Choice PPO (100%), Blue Traditional (100%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Out-of-pocket Limit: $3,500$7,000
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

8. Health Check HSA Out of Pocket Max 2,500 individual, 5,000 family, 100% coinsurance

Network (Co-insurance): Blue Choice PPO (100%), Blue Traditional (100%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: No Limit
Lifetime Benefit: No Limit
Out-of-pocket Limit: $2,500$5,000
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

9. BlueTransitions

Network (Co-insurance): Blue Choice PPO (80%)
Office Visit Co-pay: Deductible and Coinsurance
Lifetime Benefit: $2,000,000
Stop-loss: Out-of-pocket Limit: Annual Deductible plus $10,000None
Deductible Rx Drug Coverage
Brochure PDF
Apply for this Plan

Important Information

Quoted prices are based on the criteria specified during your search. This illustration is subject to Blue Cross and Blue Shield of Oklahoma's underwriting and approval and does not guarantee rates, coverage or effective date. Furthermore, rates are subject to change if any of the information you have provided changes when and if a policy is approved. In addition, Blue Cross and Blue Shield of Oklahoma reserves the right to change rates from time to time.