BlueCare Health Plans/Group Health Plans
It is important to note that BlueCare Traditional, BlueCare
Comprehensive and BlueCare PPO health care coverage plans are no
longer offered through Blue Cross of Northeastern Pennsylvania and
Highmark Blue Shield.
Instead, BlueCare Traditional, BlueCare Comprehensive and BlueCare PPO are
offered through First Priority Life Insurance Company sm.
BlueCare HMO
First Priority Health
BlueCare® HMO is our health maintenance organization plan. The plan
is designed to promote and protect your health by emphasizing preventive care
through a large network of health care providers. At the same time, the HMO
includes several important cost control measures.
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BlueCare HMO Plus
First Priority Health
BlueCare HMO Plus incorporates all the advantages of a managed care
program while providing a greater element of choice. Higher benefits are
paid for care provided in the network or with approval (prior
authorization), while you are free to have services from BlueCard®
providers directly at lower levels of reimbursement.
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BlueCare PPO
First Priority Life Insurance Company
A Preferred Provider Organization, BlueCare PPO features an impressive
combination of choice and cost control features. You will enjoy maximum benefit
levels by choosing health care providers from our preferred provider network.
At the same time, you can choose to receive care from outside the network at
lower levels of coverage. Services may be subject to a deductible and
coinsurance.
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BlueCare QHD PPO
First Priority Life Insurance Company
BlueCare Qualified High Deductible PPO is designed to be offered in
conjunction with a health savings account (HSA). This product offers freedom of
choice with the ability to receive care from health care providers in our
preferred provider network at the highest level of benefits or to receive care
outside the network at a reduced level of coverage.
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BlueCare Comprehensive
First Priority Life Insurance Company
BlueCare Comprehensive consists of hospitalization, medical/surgical and major
medical coverage all wrapped up in one complete benefit package. You will
receive benefits at the highest level when contracting health care providers
are used. Services are subject to a deductible and coinsurance.
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BlueCare Traditional
First Priority Life Insurance Company
Our BlueCare Traditional health care plan offers quality medical coverage
including hospitalization, medical/surgical and major medical services. With
BlueCare Traditional, you will receive benefits at the highest level when
performed by contracting health care providers. Services may be subject to a
deductible and coinsurance when non-contracting providers are used.
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BlueCare Senior
Blue Cross of Northeastern Pennsylvania
and Highmark Blue Shield
BlueCare Senior has been designed to supplement the federal Medicare program. It
combines Blue Cross benefits for covered hospital expenses with Blue Shield
benefits for covered doctor services. All actively-employed group members age
65 or older whose employers have less than 20 full and/or part time employees
are eligible for BlueCare Senior. You must also be enrolled in Medicare Part A
and Part B. If you are receiving Medicare due to a disability, the 20-employee
rule changes to 100 employees. You are also eligible for BlueCare Senior if you
are retired, joining a retiree group formed by your employer and you are
enrolled in Medicare Part A and Part B.
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