BlueChoice
The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. If you enroll in the BlueChoice HMO, all of your health care must be coordinated and approved by your primary care physician and received in-network.
Note: The BlueChoice HMO plan was phased out as of January 2023 for non-bargained employees. It will continue to be available to LIUNA bargaining unit employees.
Some of the features of the BlueChoice HMO Plan for bargaining unit members are outlined below. Additional details are available in the 2023 LIUNA BU Medical Plan Coverage Comparison Chart.
Plan Benefits | You Pay… |
---|---|
Annual Deductible | $0 |
Preventive care (physical exams and well baby) | $0 |
Physician Services (office visits) | $15 PCP copay; $30 specialist copay |
Physician Services (inpatient) | $0 |
Emergency care | $50 copay (waived if admitted) |
Urgent care | $25 copay |
Hospital copay per inpatient admission | $100 |
Hospital service benefits | $0 after $100 hospital copay |
Outpatient surgery | $60 copay |
Vision Care | $10 copay for annual eye exam |
Plan Year Maximums | |
Annual Maximum Benefit | None |
Annual Out-of-Pocket Maximum | $1,500 per person $4,500 per 3 or more persons |