Health Care Plans

The Georgia Health Sciences University currently offers 5 health care plans:

• PPO / PPO Consumer Choice ( PPO/PPOCC Plan Document)
• HMO / HMO Consumer Choice ( HMO/HMOCC Plan Document)
• HSA-PPO High Deductible Health Plan ( HDHP Plan Document)

PPO

The BlueChoice Preferred Provider Option (PPO) Health Plan is a comprehensive program which provides medical care/service coverage levels based on In-Network and Out-Of-Network services. Enrolled employees/retirees and covered family have the option of seeing whatever doctor they like, however electing to see providers who are in the Blue Cross Blue Shield of Georgia (BCBSGa) Participating Provider Program or in the Blue Cross Blue Shield Association (BCBSA) BlueCard� Program will result in a higher level of benefit coverage and lower out-of-pocket expenses.

PPO Consumer Choice

The BlueChoice Preferred Provider Option (PPO) Health Plan is a comprehensive program which provides medical care/service coverage levels based on In-Network and Out-Of-Network services. Enrolled employees/retirees and covered family have the option of seeing whatever doctor they like, however electing to see providers who are in the Blue Cross Blue Shield of Georgia (BCBSGa) Participating Provider Program or in the Blue Cross Blue Shield Association (BCBSA) BlueCard� Program will result in a higher level of benefit coverage and lower out-of-pocket expenses. Electing the Consumer's Choice plan provides you with the option of requesting that an out-of-network provider be given the option of becoming a preferred provider. Note: Your request does not guarantee that the provider will agree to join the network.

PPO / PPO Consumer Choice - Changes for 2010:

Plan Design Changes:

• A limited Extended Care Provision has been added to the PPO Health Care Plan for Plan Year 2010.

Network Changes :

• The BlueCard Network will be used without "In State"/"Out of State" differentials.
• Failure to access the BlueCard National Network will result in balance billing.
• List of participating providers can be found on the following website: www.bcbsga.com/bor/

Pharmacy Information :

• Will offer a Voluntary Mail Order Prescription Plan effective January 1, 2010.
  • Will be administered by Medco who currently handles the PPO Healthcare Plan Prescription Plan
  • A PPO Health Care Plan participant will be able to get a 90 day (3 month) supply of a prescribed maintenance medication at a reduced co-pay.
  • The web address for PPO Healthcare Participants to use to request renewal of their prescriptions is: www.medco.com or call Member Services at 877.300-5139.

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