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Blue Transitions^SM

Short-term Health Insurance

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Benefit Highlight	Blue Transitions
Participating Providers	Blue Choice PPO Network
Individual Deductible
$500	√
$1,000	√
$1,500	√
$2,000	√
$2,500	√
$5,000	√
Family Deductible
$1,500	√
$3,000	√
$4,500	√
$6,000	√
$7,500	√
$15,000	√
Stop-loss Benefits are paid 100% of allowable charges for the remainder of the year after you have met your annual deductible and have incurred:	$10,000 in costs during the year for covered services
Coinsurance The percentage you pay for services after deductible and applicable copayments are met.	You pay 20% of covered services from in-network providers
Prescription Drugs	You pay $200 deductible for $750 maximum benefit per participant benefit period

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A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
© Copyright 2012. Health Care Service Corporation. All Rights Reserved.

Important Information about Blue MedicareRx^SM

^SM Service Mark of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.

^® Registered Service Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.

Blue Cross and Blue Shield of Oklahoma refers to HCSC Insurance Services Company, which is a wholly owned subsidiary of Health Care Service Corporation, a Mutual Legal Reserve Company. These companies are independent licensees of the Blue Cross and Blue Shield Association and offer or provide services for stand-alone prescription drug plans with a Medicare contract under contract number S5715 with the Centers for Medicare and Medicaid Services.

A stand-alone prescription drug plan with a Medicare contract.

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Need Assistance?

Sales Questions:

1-866-303-2583

Customer Service:

1-866-520-2507

Blue TransitionsSM

Short-term Health Insurance

Thank you for looking at coverage options from BCBSOK.

Call a sales assistant at

866-303-2583

Your request hasbeen received.

Your request hasbeen received.

No thanks, I'm still looking

Blue Transitions^SM

Thank you for looking at coverage options
from BCBSOK.

Your request has
been received.

Your request has
been received.