BCBSIL 2025 Plan Guide

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Summary

Want to make sure you're taken care of for 2025? Schedule a phone appointment with one of our licensed agents for Open Enrollment and they will walk you through all your 2021 options to find the plan that is right for you. 

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• Product Name	2020 Benefit Highlights	2021 Benefit Highlights
  Blue Choice Preferred Security PPO 200	View	View
  Blue Choice Preferred Bronze PPO 201 - Two $40 PCP Visits	View	View
  Blue Choice Preferred Bronze PPO 202	View	View
  Blue Choice Preferred Bronze PPO 302	View	View
  Blue Choice Preferred Silver PPO 203	View	View
  Blue Choice Preferred Silver PPO 303	View	View
  Blue Choice Preferred Gold PPO 204	View	View
  Blue FocusCare Bronze 209	View	View
  Blue FocusCare Silver 210	View	View
  Blue FocusCare Gold 211	View	View
  Blue Precision Bronze HMO 205	View	View
  Blue Precision Silver HMO 206	View	View
  Blue Precision Silver HMO 306	View	View
  Blue Precision Gold HMO 207	View	View
  BlueCare Direct Bronze 401 with Advocate	N/A	View
  BlueCare Direct Silver 212 with Advocate	View	View
  BlueCare Direct Gold 409 with Advocate	N/A	View

Network Changes

Northwestern Hospital entered the Preferred Choice PPO network for 2021, but otherwise there were no major changes.

Just as before, there is no network difference in the metallic level of plan, I.E. someone buying a Bronze Precision HMO plan has access to the same network as the person buying the Gold Precision Plan, only difference is the plan costs/co-pays/benefit levels. 

• Chicago Hospital Network Guide 
• What Plans Accept Northwestern Hospital?

Network Overview

Blue Choice Preferred PPO	Blue Precision HMO	Blue Focus Care	Blue Care Direct
Narrow Network PPO	Wide Access HMO	Narrow Network HMO	Narrow Network partnership with Advocate Hospitals
High out of network costs	No out of network care*	No out of network care*	No out of network care*
Apply Online	Apply Online	Apply Online	Apply Online

(*Out of network care is covered in the event of an emergency in the contiguous US

 

Blue Choice Preferred PPO

Our Rating: ★★★☆☆

The Blue Choice Preferred PPO is the only ACA-compliant PPO offered in Illinois, though the coverage is not comparable to most PPOs available from employers. With an extremely high out of network deductible, you aren't likely to receive any benefits from choosing an out-of-network provider. Those in Cook County aren't recommended to take this plan as they face higher premium costs for access to less doctors. These plans also generally have better prescription drug coverage than the HMO options. 

Good For: Outside Cook County, those who really, really, truly hate HMOs, those who are more likely to see a doctors and specialists that they've confirmed are in-network

Blue FocusCare

Our Rating: ★☆☆☆☆

Blue FocusCare is a limited network HMO restricted to the areas around Cook County. While the low-cost may be appealing to some consumers, the quality of the providers in network (while providing no out of network benefits) will leave a lot of patients wanting. You will not have much choice when it comes to the hospitals and providers you can get covered. 

Good for: People who aren't concerned about hospital networks, the most price sensitive, or those who already know their doctor is in network. 

Blue Precision HMO

Our Rating: ★★★★☆

The Blue Precision HMO offers the widest range of doctors in Cook County, and is the only individual, ACA compliant plan in Illinois that offers access to Northwestern Memorial Hospital as well as Northshore Hospital. While it is an HMO that requires a referral for specialists (that means you won't see a list of specialists on this plan, but your primary doctor may refer you to the specialist of their choice) and doesn't offer out-of-network care, this plan gives you access to the better rated hospitals and providers in the greater Chicagoland area. 

Good For: Those most concerned with hospital and doctor choice, those who want to go to Northwestern or Northshore Hospital facilities. 

BlueCare Direct HMO

Our Rating: ★★★★☆

BlueCare Direct is a partnership with the Advocate hospitals in the style of an EPO (Only Illinois doesn't allow things to be called an EPO). But basically it means you can go anywhere within the Advocate hospital network, including all of the Advocate-run Walgreens urgent care centers and Illinois Masonic (The only other level I trauma center besides Northwestern) on Chicago's Northside. 

Good for: Young people, people who like Advocate hospitals, Chicago Northsiders and those in the suburbs where Advocate hospitals like Good Samaritan Hospital in Downers Grove reign supreme. 

Still don't know what to choose? Check out our plan finder! Or, give us a call at (312) 726-6565 our use our live chat and any of our agents will be happy to help. 

 

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