Medical Plans Comparison
PPO Blue Choice Plan and PPO + HSA BlueEdge
Summary Plan Information:
Additional Helpful Information Applies to Both Plans:
- Plan Comparison Video
- Plan Selector Tool
- Understanding Your EOB
- Well On Target
- Preventive Services
- Blue Care Connection
- Prescription Benefits
PPO + HSA BlueEdge PlanThe PPO+ HSA plan is a qualified high deductible medical plan. This plan is administered through Blue Cross-Blue Shield, like the current PPO Blue Choice Plan. With the PPO + HSA plan, the annual deductible will be higher than the PPO Blue Choice plan; however, that is only part of the cost you should consider when making your enrollment decision. Another cost to think about is the amount you pay for medical coverage through your payroll contributions. For the PPO + HSA, this deduction from your paycheck is lower than the PPO Blue Choice medical plan. The lower premium gives you the perfect opportunity to start saving in a Health Savings Account.
You have the same health care provider network, including specialists, without a referral, although you continue to save money if you see in-network providers. This is especially important since instead of a copay, you will be paying the full cost of a doctor’s visit or service until you satisfy the deductible. Once you meet the annual deductible, you will pay a coinsurance percentage when you use an in-network provider.
To encourage a healthy lifestyle and active management of your health, eligible preventive care services, such as routine physicals and well-woman exams, are covered at 100%. Some preventive care prescriptions will also be covered at 100%. All other services (including prescription drugs) are subject to the deductible before the Plan pays a portion of the cost. Once you meet the deductible, you and the Plan share the costs of your care (coinsurance).
How does the HSA component help?
If you enroll in the PPO + HSA, you will have the opportunity to open a Health Savings Account (HSA). You own your HSA and the account balance rolls over year-to-year. The "use-it-or-lose-it" rule that applies to Flexible Spending Accounts does not apply to HSAs. HSA funds can be used to pay for services until you meet your deductible, pay coinsurance amounts after you meet your deductible, or you can save your HSA balance, letting the balance grow tax-free and using it for future health care expenses.
PPO Blue Choice PlanThe PPO Blue Choice plan has slightly higher premiums from payroll contributions. Blue Choice provides a higher level of benefit by offering office visit and prescription copays with a lower annual deductible.
To encourage a healthy lifestyle and active management of your health, eligible preventive care services, such as routine physicals and well-woman exams, are covered at 100%. Some preventive care prescriptions will also be covered at 100%.
Baylor University faculty and staff who choose this plan are interested in having fewer out-of-pocket expenses for health care. Participation in the PPO Blue Choice medical plan allows enrollment in the health care Flexible Spending Account (FSA). Flexible Spending Accounts are a great partner for your PPO Blue Choice medical care plan because they allow you to save taxes on out-of-pocket medical and/or dental related expenses.
- 2013 PPO BlueChoice Summary of Benefits & Coverage
- 2014 PPO BlueChoice Summary of Benefits & Coverage
- 2014 PPO BlueChoice Managed Care Book