Regence BlueCross BlueShield of Oregon (online application)

Blue Selections Plus Plan

Benefit Features

In-Network 

Provider Benefit

Out-Of-Network 

Provider Benefit

Lifetime maximum benefit

$2,000,000

Individual deductible options per calendar year

$1,000, $2,500, $5,000

Family deductible per calendar year

Maximum of three family members

Maximum amount of covered expenses you pay each calendar year per person (maximum coinsurance)

$6,000

$10,000

Family maximum coinsurance per calendar year

Maximum of three family members

After your maximum coinsurance is met each calendar year, we pay

100%

100%

Important note: Your deductible and/or copayments do not accumulate toward your maximum coinsurance.  Your maximum coinsurance accumulates separately for In-Network and Out-Of-Network providers.  Copayments will continue to be collected after your maximum coinsurance has been met.  

Preventive Care Services and Office Visits

Deductible Waived - We Pay 

Immunizations for adults and children

100% after $30 copay

100% after $40 copay

Well-baby care to age 2 and well-child exams

100% after $30 copay

100% after $40 copay

Annual women's exam including Pap test and mammogram

100% after $30 copay

100% after $40 copay

Annual men's exam including PSA test 

100% after $30 copay

100% after $40 copay

Office visits including urgent care visits

100% after $30 copay

100% after $40 copay

Other Professional Services  

After Deductible - We Pay 

Office procedures

70%

50%

Therapeutic injections including allergy shots

70%

50%

Surgery

70%

50%

Maternity care

70%

50%

Diagnostic radiology and lab including routine colorectal cancer screening

70%

50%

Hospital Services

After Deductible - We Pay 

Inpatient stay including maternity and rehabilitation

70%

50%

Inpatient mental health stay

70%

50%

Outpatient surgery 

70%

50%

Emergency room care (copay waived if admitted to hospital)

70% after $100 copay

70% after $100 copay

Other Services

After Deductible - We Pay 

Ambulance 

70%

70%

Outpatient rehabilitation (physical, speech, and occupational therapy)

70%

50%

Skilled nursing facility, home health, and hospice care

70%

50%

Durable medical equipment and supplies

70%

50%

Transplant 

70%

50%

Prescription Benefits and Vision Care Services

No Deductible - We Pay 

Generic prescription medications

100% after $10 copay (unlimited)

All other covered expenses for prescription medications

50% up to a limit of $5,000 per calendar year

Vision exam once per calendar year

100% after $30 copay

(Participating vision provider)

50%

Vision hardware (lenses and frames or contacts)

100% up to $150 maximum allowance per calendar year

Additional Benefits

Accidental death 

Provides $15,000 for you and your enrolled adult spouse, $4,000 for each enrolled dependent or a subscriber under the age of 18.

Special Beginnings^®

Provides a maternity program designed to promote healthy prenatal care through education and support.

BlueCard^® program

Provides savings nationwide by using physicians and other professional providers of the Blue Cross and/or Blue Shield Plan in the area where you receive the service.  Find a provider near you at www.bcbs.com.

Regence BlueCross BlueShield of Oregon (online application)