BCBSIL Gold Plan Comparison BCBSIL Silver Plan Comparison BCBSIL Bronze Plan Comparison
*6 Tier NON HMO Drug list, **4 Tier NON HMO Drug list
Blue Choice Preferred Gold 204*
Blue Choice Preferred Gold PPO Standard-RX Copays**
Blue Choice Preferred Gold 901*
Blue Choice Preferred Silver 203*
Blue Choice Preferred Silver 303*
Blue Choice Preferred Silver PPO Standard-RX Copays**
Blue Choice Preferred Silver PPO 801
Blue Choice Preferred Bronze 201*†
Blue Choice Preferred Bronze 202*†
Blue Choice Preferred Bronze PPO 701*†
Blue Choice Preferred Bronze PPO Standard-RX Copays **†
Blue Security Choice Preferred 200†
*6 Tier HMO Drug list, **4 Tier HMO Drug list
Blue Precision Gold 207*
Blue Precision Gold HMO 703 *
Blue Precision Gold HMO Standard-RX Copays**
Blue Precision Silver 206*
Blue Precision Silver 306*
Blue Precision Silver HMO 704 *
Blue Precision Silver HMO Standard -RX Copays**
Blue Precision Bronze 205*†
Blue Precision Bronze HMO 701†
Blue Precision Bronze HMO Standard-RX Copays**†
**4 Tier HMO Drug list
*6 Tier HMO Drug list, **4 Tier HMO Drug list
BCBSIL Off Exchange Standalone Dental Application
Dental Brochure
Outline of Coverages:
BlueCare Dental 1A
BlueCare Dental 4 Kids 1A
BlueCare Dental 1B
BlueCare Dental 4 Kids 1B
BlueCare Dental 1C
BlueCare Dental 1D
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†Expanded eligibility for Bronze and Catastrophic plans
1501 East Woodfield Road, Ste 110e
Schaumburg, IL 60173
Toll Free: 1-800-605-7566
General Phone: (847) 605-1200
Phone: (847) 592-0941
Fax: (847) 605-1494
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Fax: (847) 605-1331
Phone: (847) 598-6005
Fax: (847) 619-9592
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