G. William Moore.com
Authorized Agent for Blue Cross of California

 

 

Home
Tonik Health
Right Plan PPO 40
Dental Insurance
Short Term Coverage
HMO Plans
Individual & Family Plans
HSA Compatible Plan
Find a Doctor
Quick Quote
Agent Info

Apply Online


SmileNet Dental
Discount Program

Download or Request
Brochure or Application

Certified Financial Consultants
Seal Beach, CA  90740
(562) 431-5575

CA Ins. Lic.
# 0707682

 

 

 

 

Select HMO

Blue Cross of California lowest cost HMO plan available.  Office visit Copays of $25, generic drugs copay of $10.  Inpatient hospital services has a copay for the first 4 days in the hospital. See benefit comparison chart.

With the Select HMO Network, you can choose from more than 13,000 primary care physicians and specialists in 22 California counties.  And with the Select HMO Plan, you'll pay just $25 for office visits.  If you're looking for health care coverage with predictable costs and comprehensive, hassle-free benefits, then the Select HMO Plan could be a great choice.  This plan is also ideal if you have young children or if you are starting a family.

Benefits for You and Your Family

Your comprehensive health coverage includes physical exams by your Primary Care Physician and preventive screenings such as Pap tests, mammograms, and testing for prostate cancer.  You also have the security of emergency and hospitalization services as well as maternity and prescription drug benefits. 

With an HMO, you choose a doctor to help guide your medical care.  First, you will need to locate a Participating Medical Group (PMG) or Independent Practice Association (IPA) within 30 miles or your home or work.  Next, choose a Primary Care Physician (PCP) from the medical group or IPA you have selected.  All your care must be provided by or through the PMG/IPA you select, except in an emergency.  It's easy to locate a Select HMO Network provider online - just go to on the "Find a Doctor or Hospital (Provider Finder)" link.

For more information about the SelectHMO, please click here for a PDF file.

 


 

Benefits In-Select Network
Annual Deductible

none

Lifetime Maximum

unlimited

Annual Out-of Pocket Max.

$3000 per member; $6000 per family (2 member maximum)

Office Visits

$25 copay

Professional Services
(X-ray, lab, anesthesia, surgery, etc.)

No charge for office visits related services

Hospital Inpatient $250 copay per day up to the first four days, then covered at 100% per admission
Hospital Outpatient Services

20 % of negotiated fee rate

 

Hospital Outpatient Surgery

$250 per surgery

Emergency Services Professional Services: No charge
Inpatient Hospital: $250 copay per day up to the first four days, then covered at 100% per admission
Outpatient Hospital: $100 emergency room copay plus 20% of negotiated fee rate (waived if admitted to hospital)
Preventive Care

$25 copay for specific health maintenance services

Ambulance

$50 copay unless admitted to hospital

Physical and Occupational Therapy; Chiropractic Services Outpatient: $25 copay per visit
Inpatient: No charge Chiropractic benefits with medical group referrals only
Acupuncture/Acupressure

Not covered

Maternity Office visits: $25 copay

Hospital Inpatient: $250 per day copay up to the first four days, then covered at 100% per admission

Outpatient Services: 20 % of negotiated fee
 

Prescription Drugs Blue Cross Formulary Drugs
Generic:
$10 copay
Brand Name: $30 copay after $250 annual brand name deductible (2 member maximum)

Self administered Injectables: 30 % of negotiated fee, except insulin

6a