Large Group Blue Cross HMO Plan:

In the past, whenever someone heard the words, HMO group plan, the result was usually unpleasant. Blue Cross has worked to create an HMO plan that defies the standard and raises the bar for the competition. If your employees cannot afford all of the benefits of a PPO plan, this plan may be a good alternative. Here are just a few things that you can expect from this plan.

Highly Rated

The HMO plan offered by Blue Cross has received the highest accreditation offered by the NCQA, an agency devoted to making sure that HMO plans work for their policyholders. A rating of excellent was awarded to these commercial HMO and POS plans, which puts them ahead of most of the competitors in this insurance bracket. A rating of excellent from the NCQA means that a company is committed to providing quality customer service, and caring for their customers. The NCQA has long been a watchdog of the HMO industry and their ratings are not given out lightly.

Larger Network

The network of primary physicians for Blue Cross HMO plans is quite large. Currently, over 32,000 physicians and 400 hospitals are in-network, all over the state. This means that your employees will have a greater amount of choice when choosing their primary care physician, and in some cases, may be able to keep their original doctor. This also means that your employees will be able to pay less for their insurance costs. Typically, HMO plans will charge more for services that are provided out of network. However, with this large network, the chances of finding a participating provider are much greater and will translate into more savings for your employees.

Affordable Plans

The HMO plans offered by Blue Cross will allow your employees to select plans that they can actually afford. This increases the overall sign-up rate for your group health plan, and allows you to pay less for monthly premiums. Even though they are more affordable than many HMO plans, you won’t find a lack of features for HMO customers.

Ready Access

Blue Cross is now offering Ready Access for their HMO customers. Ready Access is a program that allows your employees to bypass medical group authorization for specific procedures or specialists. In many cases, this means that your employees will have quicker access to the care they need, and much less hassle. Currently, the Speedy Referral service and the Direct Access programs are available to HMO customers.

Preventative Care Options

The importance of preventative care cannot be overlooked. Your employees will have access to several different care options, including Well Woman, a program that has been designed for female members to self-refer to the OB-Gyn of their choice in the network. In addition, the Healthy Check programs offer two different levels of preventative care options that are extremely affordable.

Seamless Coverage

If your employees travel, the size of the Blue Cross provider network will allow them the freedom and peace of mind to seek health care if necessary while they are out of state. If your employee should require emergency care, they will be able to get it, and in most cases, without paying extra.


Health Insurance Blog

Dan Abrams California Health Insurance