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BlueSelect


Plans

BlueSelect is a combination PPO/EPO product and includes individual and group coverage.  Most services are subject to PPO-type benefits; however certain services are subject to an EPO provision and are only covered when rendered by providers designated by us as the exclusive provider for such service.
 

Services that may be subject to the EPO provision are:

  • Behavorial health
  • Dental services
  • DME
  • Home health/home infusion
  • Laboratory
  • Medical Supplies
  • Orthotics/prosthetics
  • Pharmacy
  • Vision Services

BlueSelect is offered in limited counties. Please refer to the most updated county list: BlueSelect Counties.

Provider Networks

The provider network for our BlueSelect plans is BlueSelect, which includes both PPO and EPO providers.  For covered services that are subject to the PPO provision, members may seek care from PPO providers in the BlueSelect network, Traditional/PPS/PHS network providers or other non-network providers.  Any service subject to the EPO provision, must be rendered by BlueSelect EPO providers (except emergency care) or be responsible for all charges. 
 
BlueSelect Providers

Providers participating in BlueSelect network(s) are reimbursed based on the terms of their Agreement for services to BlueSelect members and have agreed to accept the Florida Blue allowed amount (less deductible, coinsurance, and/or copayment) as payment-in-full for covered services. When members access BlueSelect providers, covered benefits are reimbursed at a higher benefit level, and their out-of-pocket costs are usually lower.

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Traditional/PPS/PHS Providers

BlueSelect members may also have access to the Traditional/PPS/PHS network for services that are not subject to the EPO provision. When members access Traditional/PPS/PHS providers, covered benefits are usually reimbursed at a lower non-participating level and their coinsurance percentage and/or copayment is higher.  As a participating Traditional/PPS/PHS network provider, you may not balance bill the member.  

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1/13/2014
The Manual is not intended to be a complete statement of all BCBSF polices or procedures for providers. Other policies and procedures, not included in this Manual, may be posted on our website or published in special publications, including but not limited to, letters, bulletins, or newsletters. Any section of this Manual may be updated at any time. In the event of any inconsistency between information contained in this Manual and the agreement(s) between you or your facility and BCBSF or Health Options the terms of such agreement(s) shall govern.

The Manual is not intended to be a complete statement of all Florida Blue polices or procedures for providers. Other policies and procedures, not included in this Manual, may be posted on our website or published in special publications, including but not limited to, letters, bulletins, or newsletters. Any section of this Manual may be updated at any time. In the event of any inconsistency between information contained in this Manual and the agreement(s) between you or your facility and Florida Blue or Health Options the terms of such agreement(s) shall govern.

Refer to the References section to view all applicable copyrights, registered trademarks, service marks, and/or references. Acronyms are also defined in the References section.

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