Blue Cross Physician Choice PPO
Blue Cross® Physician Choice PPO uses Organized Systems of Care, or OSCs. These are communities of doctors and hospitals within our PPO network that provide coordinated, high-quality care and lower costs.
Starting Jan. 1, 2024, the Blue Cross Physician Choice PPO plan is closed for all individuals and groups. This content is intended for reference only for dates of service prior to 2024.
Product summary
A handy summary for providers, including a list of participating level 1 organized systems of care, is available in this Blue Cross Physician Choice PPO provider flier
Frequently asked questions
This FAQ document has answers to questions about Blue Cross Physician Choice PPO, including information on cost share, claims payments, referrals and more.
User guide
The Blue Cross Physician Choice PPO e-referral User Guide is a step-by-step guide through the e-referral system, especially for Blue Cross Physician Choice PPO providers.
How do the cost share levels work?
Level 1 cost share (lowest costs) |
Member must first choose a primary care doctor in a Level 1 OSC.
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Level 2 cost share (higher costs) |
Member doesn't choose a primary care doctor. Or, member chooses a primary care doctor not in a Level 1 OSC. Or, member chooses a primary care doctor in a Level 1 OSC, but chooses providers outside that OSC without a referral. |
Out-of-network cost share (highest costs) |
Member chooses doctors and hospitals outside our PPO network. Referrals for Level 1 cost share do not apply outside the PPO network. |
Frequently accessed documents
Additional resources
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