BlueExtras allows Blue Cross and Blue Shield of Illinois members to access a credentialed network of complementary health care providers on an out-of-pocket basis. Members will pay on a discounted fee-for-service schedule. This 25% discount (may vary outside of Illinois) applies to a wide range of services, including:
- Acupunture Services
- Exams and treatment
- Massage Therapy Services
- Chiropractic Services
- New and established patient exams
- Chiropractic manipulation
- Traction
- Untrasound
- Electrical stimulation
- Myofacial release
BlueExtras is a discount program that supplements your existing health benefit coverage. Any services obtained through this program, including x-rays and appliances, are not covered benefits under your Blue Cross and Blue Shield of Illinois coverage. You are responsible for paying the discounted fees for these services. Select a participating complementary health care provider online at: www.bcbsil.com.
HMO Medical Benefits
Coverage begins on the first day of employment. When you join our HMO, you will be required to choose a specific doctor and/or group that you must see in order for benefits to be payable. All services are taken care of with very few, if any, claim forms or deductibles and copayments.
Coverage for preventive services includes:
- Physical examinations
- Doctors office visits
- Diagnostic services
- Pediatric and well child care
- Inoculations and immunizations
General Services include:
- Primary Physician Physical checkups ($15 co-pay)
- Specialist Office visits ($25 co-pay)
- Diagnosis and treatment of illness or injury
- Diagnostic tests and X-rays; inoculations and immunizations
- Minor surgical procedures
- Well care for children and adults
- Family planning services
- Eye examinations and refractions (all ages)
- School physicals (excluding sports physicals)
- Premarital examinations
- Hearing screening exams(all ages)
Hospital Emergency Care:
- Co-pay of $50 if not admitted
Hospital Care:
- Hospital Services - $250 co-pay - per admission
- The following services once admitted - no further cost
- Unlimited days:
- Semiprivate room
- Intensive care special unit
- Doctor's visits
- Operating room and recovery room
- Radiology; X-ray
- Lab
- Medicine and drugs
- For Surgery:
- Surgeon
- Anesthesiologist
- Consultants
- For Maternity Care:
- Delivery
- Prenatal and postnatal care
- For inpatient mental health:
- 20 days/calendar year
- For inpatient substance abuse:
- 20 days /calendar year
- Other Services at no cost to you:
- Skilled nursing facility care
- Rehabilitation therapy
- speech, physical and occupational therapy
- (limited to a combined 60 visits/year)
- Home health care
- Blood and blood plasma
- Prosthetic devices
- Durable medical equipment
Please refer to your employee benefits handbook for a more detailed description of benefits or check the
Blue Cross/Blue Shield website.
Blue Cross/Blue Shield website.
