Blue Cross HMO Standard Option Medical Plan
Description: Select a Primary Care Physician (PCP) from a group of physicians who are a part of the Blue Cross network (see www.bluecrossca.com for the directory of participating physicians). Your PCP will coordinate all of your care. Therefore, specialty care must be referred by your PCP. A PCP is defined as an internist, general practitioner, family practitioner and pediatrician. All non-emergency treatment must be received by one of these providers. In exchange for lower per pay period premiums, you pay more money out-of-pocket when you receive services.
*SCU provides additional mental health benefits through its Employee Assistance Program (EAP) and Mental Health Benefits Program with United Behavioral Health (UBH).
This is a summary of the benefits provided. Once enrolled, members will receive a Combined Evidence of Coverage and Disclosure Form, which explains the exclusions and limitations, as well as the full range of covered services of the plan, in detail. Under all circumstances, policy form and wording take precedence over information contained in this summary.