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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, 2018

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] $6,950/$13,000  $6,950/$12,000  $6,950/$11,000  $6,350/$9,000 $6,000/$7,500 
Wellness visits (no deductible)
[per Preventive Care Schedule]
100% 100% 100% 100% 100%
Primary care or retail clinic/specialist visit $25/$45 $25/$45 $25/$45 $25/$45 $25/$45
Telemedicine co-pay2 $10 $10 $10 $10 $10
Hospital inpatient [including maternity] $250 co-pay then 70% after deductible $250 co-pay then 70% after deductible $250 co-pay then 80% after deductible $250 co-pay then 80% after deductible $250 co-pay then 80% after deductible
Emergency room services [deductible does not apply] $250 co-pay then 70% $250 co-pay then 70% $250 co-pay then 80% $250 co-pay then 80% $250 co-pay then 80%
Outpatient services and outpatient surgery 70% after deductible 70% after deductible 80% after deductible 80% after deductible 80% after deductible


Prescription Drug Benefits3,4,5

Health Choice 50001 Health Choice 30001 Health Choice 2000 Health Choice 1000 Health Choice 500
Generic co-pay — Retail/home delivery $15/$30 $15/$30 $15/$30 $15/$30 $15/$30
Preferred drug co-pay6 — Retail/home delivery $50/$100 $50/$100 $50/$100 $50/$100 $50/$100
Non-preferred drug co-pay6 — Retail/home delivery $75/$150 $75/$150 $75/$150 $75/$150 $75/$150
Specialty generic drug co-pay (up to 30-day supply) $50 $50 $50 $50 $50
Specialty preferred drug co-pay6 (up to 30-day supply) $75 $75 $75 $75 $75
Specialty non-preferred drug co-pay6 (up to 30-day supply) $100 $100 $100 $100 $100


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

2Teladoc operates subject to state regulation and may not be available in certain states.

3If the cost of the prescription is less than the co-pay, the participant pays the full cost of the prescription.

4Retail available as 30-day supply, mail order as 90-day supply and specialty as 30-day supply through mail order.

5Maintenance drugs filled at retail will incur a $10 penalty after the second retail fill. The $10 penalty does not accumulate toward the deductible or the maximum out-of-pocket limit. This penalty does not apply to ACA preventive medications.

6If a non-generic is purchased when a generic is available, the participant must pay a penalty of the difference in drug cost of the non-generic drug over its generic equivalent. This penalty does not accumulate toward the deductible or the maximum out-of-pocket limit.

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