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:
BlueSelect is offered in limited counties. Please refer to the most updated county list: BlueSelect Counties.
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.
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.
Back to Top
Beginning on or after October 1, 2014 if a Blue Select member chooses to receive emergency or non-emergency care at a Hospital Facility that is not a participating provider in the BlueSelect network, the member will be responsible for the out-of-network cost share and the remaining balance of the charges after Florida Blue payment.
Beginning on or after January 1, 2015 if a Blue Select member chooses to receive emergency or non-emergency care at a Hospital Facility that is not a participating provider in the BlueSelect network, the member will be responsible for the out-of-network cost share and the remaining balance of the charges after Florida Blue payment.
Back to Top