Benefits at a Glance - BCBSM

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Enhanced Traditional PPO Plans

The Pool's Traditional PPO plans offer our most comprehensive coverage. Most plans cover services like wisdom tooth extraction and therapeutic massage, in addition to 24 chiropractic visits per year. Benefits at a Glance documents are categorized below by their single deductible amount.

 

 

The Pool's Traditional PPO plans offer our most comprehensive coverage. Most plans cover services like wisdom tooth extraction and therapeutic massage, in addition to 24 chiropractic visits per year. Benefits at a Glance documents are categorized below by their single deductible amount.

 

 

 

BCBSM's Member Handbook:

ENHANCED Traditional PPO Plans

 

Looking for a plan's formulary?

Find the comprehensive list here.

 

$0 Deductible

$250 Deductible

$500 Deductible

$1000+ Deductible

ENHANCED 0 009

ENHANCED 0 010

ENHANCED 0 011

ENHANCED 0 012

ENHANCED 0 013

ENHANCED 0 097

ENHANCED 0 113

ENHANCED 0 124

ENHANCED 250 001

ENHANCED 250 002

ENHANCED 250 003

ENHANCED 250 005

ENHANCED 250 006

ENHANCED 250 007

ENHANCED 250 014

ENHANCED 250 015

ENHANCED 250 018

ENHANCED 250 019

ENHANCED 250 024

ENHANCED 250 025

ENHANCED 250 027

ENHANCED 250 028

ENHANCED 250 051

ENHANCED 250 052

ENHANCED 250 061

ENHANCED 250 063

ENHANCED 250 105

ENHANCED 250 123

ENHANCED 250 125

ENHANCED 250 144

ENHANCED 250 148

ENHANCED 250 177

ENHANCED 500 004

ENHANCED 500 008

ENHANCED 500 016

ENHANCED 500 017

ENHANCED 500 020

ENHANCED 500 021

ENHANCED 500 030

ENHANCED 500 062

ENHANCED 500 065

ENHANCED 500 068

ENHANCED 500 101

ENHANCED 500 111

ENHANCED 500 118

ENHANCED 500 147

ENHANCED 500 151

ENHANCED 500 159

ENHANCED 500 160

ENHANCED 500 174

ENHANCED 500 178

ENHANCED 1000 029

ENHANCED 1000 049

ENHANCED 1000 089

ENHANCED 1000 100

ENHANCED 1000 112

ENHANCED 1000 117

ENHANCED 1000 143

ENHANCED 1000 171

ENHANCED 1000 173

ENHANCED 1000 179

ENHANCED 1000 198

 

 


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