Coverage

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.

Summary of Benefits and Coverage

• PPO 500 Deductible
• PPO 1200 Deductible
• PPO 2500 Deductible
• HSA Plan

Medical Claim Form

Care Away From Home

Your health care benefit coverage goes with you wherever you live, work or travel.

Learn more about Care Away From Home

Dental Benefits

View a summary of your dental benefits

Vision Benefits

View a summary of your vision benefits

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 BCBSOK. Log in to Blue Access for Members^SM 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

Specialty Pharmacy Program

Learn more about the Specialty Pharmacy Program.