TSCRA: Insurance Services

TSCRA BestChoice Groups 2-50
Choice of Deductibles - Doctor Office Co-Pays - In and Out of Network Benefits -
- Guaranteed Issue - Prescription Drug Program

When you need	For in-network benefits	For out-of-network benefits with ParPlan Providers and contracting facilities	For out-of-network benefits with any licensed physician or facility
Emergency care	Call 911 or seek help from any doctor or hospital immediately Contact your network provider within 48 hours from the onset of your condition Make a copayment (waived if admitted) Pay coinsurance and deductible, if any	Call 911 or seek help from any doctor or hospital immediately If hospitalized, call the precertification number within 48 hours or as soon as possible Pay coinsurance and deductible, if any Note: You will receive network benefits for emergency care received during the first 48 hours	Call 911 or seek help from any doctor or hospital immediately If hospitalized, call the precertification number within 48 hours or as soon as possible Pay coinsurance and deductible, if any You may be billed for covered services where the charges exceed the Allowable Amount Note: You will receive network benefits for emergency care received during the first 48 hours
To visit a doctor	See any BlueChoice Network provider Make a copayment for office visits Pay lower coinsurance and deductible, if any Pay nothing above Allowable Amount or negotiated fee for covered services Pay less for covered services	See any ParPlan provider or contracting facility After deductible and coinsurance, if any, pay nothing above Allowable Amount or negotiated fee for covered services	See any doctor Pay coinsurance and deductible, if any File your own claim You may be billed for covered services where the charges exceed the Allowable Amount
To see a specialist	See any BlueChoice Network specialist Make a copayment for office visits Pay lower coinsurance and deductible, if any Pay nothing above Allowable Amount or negotiated fee for covered services Pay less for covered services	See any ParPlan provider or contracting facility After deductible and coinsurance, if any, pay nothing above Allowable Amount or negotiated fee for covered services	See any specialist Pay coinsurance and deductible, if any File your own claim You may be billed for covered services where the charges exceed the Allowable Amount