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Medical Benefits

The Blue Cross and Blue Shield of Oklahoma (BCBSOK) PPO plan gives you access to doctors and hospitals across the country. Contracting PPO doctors represent virtually every medical specialty, and contracting PPO hospitals include community, teaching and tertiary care facilities. Chances are your current doctor or hospital already participates in the PPO contracting provider network.

These are just some of the benefits of the PPO network:

  • When you visit network PPO doctors and hospitals, there's no need to pay upfront for your care.
  • PPO doctors and hospitals file claims for you.
  • When you use a contracting PPO doctor or hospital, you will not be balance billed for any fees above the allowable charge. That means less paperwork for you.

Benefit Highlights

Benefit Plan Guides

BlueEdge HSA Banking Information (Benefit Wallet)
Banking Fees

For more information about Benefit Wallet, go to mybenefitwallet.com

Preventive Care Services — A summary of covered preventive care services.

BCBSOK Medical Claim Form (member submitted)

Prescription Drug Benefits

Your health plan includes prescription drug benefits. These benefits are administered by a pharmacy benefits manager (PBM). Prime Therapeutics® is the PBM for Blue Cross and Blue Shield of Oklahoma (BCBSOK).

Log in to Blue Access for MembersSM and go to My Coverage — Prescription Drugs to access the Prime Therapeutics site. There you can:

  • Search for prescription drugs
  • Find a pharmacy
  • Order refills online
  • View formulary status
  • Download forms and brochures

Benefit Booklet