This preferred provider organization plan offers employers the potential for lower monthly health benefit costs, as well as lower out-of-pocket costs for employees, through an extensive state-wide network of physicians and hospitals, or non-network physicians at a reduced benefit.
Our BlueChoice PPO plan offers the choice of in- or out-of-network benefits. Members have the freedom to choose any health care provider. However, members receive greater benefits and lower costs when medical services are provided by a BlueChoice PPO network physician.
Our PPO plans provide two additional benefits for participating hospitals and physicians. The Prudent Buyer Program is a discount program with participating hospitals and the Participating Physician Program is an agreement with physicians to accept BCBSGA’s determination of “usual, customary and reasonable” (UCR) fees. These programs automatically apply to most out-of-network claims by providing the following added value benefits: