CTPF 2027 NON-MEDICARE HEALTH INSURANCE HANDBOOK 12 Blue Cross Blue Shield HMO Illinois (HMOI) NETWORK NAME HMO Illinois (HMO) PLAN FEATURES Traditional HMO. You must select an HMOI primary care physician (PCP). Referral required for specialty care. Plan typically pays 100% after copayment. Must use network provider. CONTACT INFORMATION Group number: H64047 1-800-892-2803 Customer Service 1-800-423-1973 Pharmacy www.bcbsil.com HOW TO ENROLL Complete CTPF Form 350 (available online at www. ctpf.org). Return with required documentation to CTPF. SERVICE AREA Chicago vicinity only FOREIGN TRAVEL Foreign travel emergency benefits available. PHYSICIAN SELECTION PCP-directed, referrals required. Must use network provider. LIFETIME MAXIMUM No lifetime maximum OUT-OF-POCKET MAXIMUMS Individual: $1,500 Family: $3,000 Prescription copays, vision, durable medical equipment, and prosthetics do not apply to out-of-pocket maximums. Blue Cross Blue Shield PPO NETWORK NAME Participating Provider Organization (PPO) PLAN FEATURES Traditional PPO. You may use any physician. Plan typically pays 90% PPO and 50% Non-PPO of allowed charges after the plan year deductible has been met. CONTACT INFORMATION Group number: P06675 1-800-331-8032 Customer Service 1-800-851-7498 Mental Health 1-800-423-1973 Pharmacy www.bcbsil.com HOW TO ENROLL Complete CTPF Form 350 (available online at www. ctpf.org). Return with required documentation to CTPF. SERVICE AREA Nationwide FOREIGN TRAVEL Foreign travel emergency benefits available. Other foreign medical coverage may be available. Contact BCBS at 1-800-810-2583 for more information. PHYSICIAN SELECTION Enhanced benefit level when you use a PPO hospital or physician. LIFETIME MAXIMUM No lifetime maximum OUT-OF-POCKET MAXIMUMS Individual: $3,000 PPO $5,000 Non-PPO Family: $6,000 PPO $10,000 Non-PPO Prescription copays do not apply toward plan deductible.
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