BlueCare HMO-58*

Who Pays?

100% Employee Premium: PHSC pays

100% Dependent Coverage Premium Portion: Employee pays through payroll deductions ($1,360 per month)

When You Are Eligible

The first day of the following month after date of employment.

What You Receive

BlueCare Health Maintenance Organization (HMO) benefits include preventive health care. Care must be provided by a participating BlueCare in-network provider. This HMO BlueCare group plan does not request a primary health provider referral for specialist care. This plan has an unlimited lifetime maximum. No deductibles. 100% of claim paid after copay. $40 physician co-pay. $60 Specialist co-pay. $350 ($1,750 max) per day hospital admission co-pay. 20% emergency room co-pay.

*Employee may be enrolled in only one plan.