BC/BS Benefit Summaries With the exception of Security 65 plans, the following Traditional BC/BS plans are available for Renewals only: Blue Cross/Blue Shield Traditional Options (PDF) OptiChoice Vision Benefits (PDF) Blue Cross/Blue Shield Traditional Options Blue Cross Hospitalization Blue Shield Medical/Surgical Supplemental Major Medical Option 1A $350 deductible per benefit period; $50 copay per outpatient service (max of 5 copays per year) Plan 100 (paid 100% UCR) $100 deductible, then pays 80% of the next $2,000 of eligible expenses (100% thereafter) Option 1B $350 deductible per benefit period; $50 copay per outpatient service (max of 5 copays per year) Plan 100 (paid 100% UCR) $250 deductible, then pays 80% of the next $2,000 of eligible expenses (100% thereafter) Option 1C $350 deductible per benefit period; $50 copay per outpatient service (max of 5 copays per year) Plan 100 (paid 100% UCR) $500 deductible, then pays 80% of the next $2,000 of eligible expenses (100% thereafter)   < Return to top

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