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Traditional PPO Plans from a Christian Organization

With GuideStone, you can have your own medical plan with great value and shared values!

  • You CAN get affordable rates and plenty of extras.
  • You CAN take your coverage to another eligible ministry.
  • You CAN save on medical care with provider discounts through the Highmark Blue Cross Blue Shield PPO network.
  • You CAN pay less for quality coverage and get additional benefits at no extra cost.

Get A Quote for health coverage now and find a plan your family can afford.

PPO Plans At-A-Glance

Effective January 1, 2016

In-network benefits Health Choice 50001 Health Choice 30001 Health Choice 2000 Health Choice 1000 Health Choice 500
Annual deductibles: Individual /
family
$5,000 / $10,000 $3,000 / $5,000 $2,000 / $4,000 $1,000 / $2,000 $500 / $1,000
Plan pays (co-insurance) [after deductible] 70% 70% 80% 80% 80%
Medical and prescription maximum out-of-pocket: individual/family [in-network services only, including deductible, co-pays and co-insurance] $6,350/$12,700  $6,350/$11,000  $6,350/$10,000  $6,350/$8,000 $5,000/$6,000 
Primary care or retail clinic / specialist visit $25 / $45 $25 / $45 $25 / $45 $25 / $35 $25 / $35
Wellness visits (no deductible)
[per Preventive Care Schedule]
100% 100% 100% 100% 100%
Hospital inpatient [including maternity] and outpatient surgery 70% after deductible 70% after deductible 80% after deductible 80% after deductible 80% after deductible
Emergency room services [deductible does not apply] 70% after $100 co-pay 70% after $100 co-pay 80% after $100 co-pay 80% after $100 co-pay 80% after $100 co-pay
Telemedicine co-pay2 $10 $10 $10 $10 $10
Outpatient services [CT scans, MRI, diagnostic] 70% after deductible 70% after deductible 80% after deductible 80% after deductible 80% after deductible

1 These plans do not constitute "creditable coverage" for Massachusetts residents.

2 Availability subject to state regulations.

Prescription drug benefits are built into your plan

Health Choice 50001 Health Choice 30001 Health Choice 2000 Health Choice 1000 Health Choice 500
Generic co-pay — Retail / home delivery $15 / $35 $15 / $35 $15 / $35 $15 / $35 $15 / $35
Preferred drug co-pay 2 — Retail / home delivery $50 / $100 $50 / $100 $50 / $100 $50 / $100 $50 / $100
Non-preferred drug co-pay2 — Retail / home delivery $75 / $150 $75 / $150 $75 / $150 $75 / $150 $75 / $150
Specialty Generic drug co-pay3 (up to 30 day supply) $50 $50 $50 $50 $50
Specialty Preferred drug co-pay3 (up to 30 day supply) $75 $75 $75 $75 $75
Specialty Non-preferred drug co-pay3 (up to 30 day supply) $100 $100 $100 $100 $100

1 These plans do not constitute "creditable coverage" for Massachusetts residents.

2 If a preferred or non-preferred drug is purchased when a generic is available, the participant must pay the generic co-pay and the cost difference between the preferred drug and its generic equivalent. The cost difference does not accumulate toward the deducitble or the maximum out-of-pocket limit.

3 These drugs are eligible for refill through the specialty drug mail-order program after your initial retail fill is complete.

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