Documentos de póliza para seguros de gastos médicos calificados para grupos pequeños
A continuación encontrará una lista de documentos de póliza vigentes de Blue Cross and Blue Shield of Texas para seguros de gastos médicos de nivel metálico calificados para grupos pequeños. Estas pólizas describen cómo funcionan generalmente los planes e incluyen gastos elegibles, pasos para presentar reclamaciones, procedimientos de apelación, limitaciones y excepciones de cobertura, y más.
Ayuda para encontrar su póliza
- Obtenga los documentos de su póliza a través de su cuenta de asegurado en línea .
- Obtenga los documentos de su póliza a través de la aplicación de BCBSTX. Más información sobre la aplicación de BCBSTX.
- Comuníquese con un representante de Servicio al Cliente al 1-888-697-0683 para obtener ayuda cuando necesite encontrar o acceder a los documentos de su póliza.
- Si tiene una cobertura a través de su empleador, puede comunicarse con el administrador de beneficios de su empresa para conocer el nombre de su cobertura.
- Si sabe que tiene una cobertura médica acreditada de nivel metálico para grupo pequeño y conoce su nombre, búsquela a continuación y descargue la póliza.
Los documentos de la póliza de la cobertura médica acreditada de nivel metálico para grupos pequeños del año del plan 2027 aún no están disponibles. Los enlaces a continuación abren archivos de marcador de posición. Los documentos de las pólizas estarán disponibles en noviembre. Vuelva a ingresar durante ese mes.
Coberturas Platino
Coberturas Blue Choice Platinum PPO
Fuera del Intercambio
- Blue Choice Platinum PPO 202
- Blue Choice Platinum PPO 202-in vitro
- Blue Choice Platinum PPO 301
- Blue Choice Platinum PPO 301-in vitro
- Blue Choice Platinum PPO 501
- Blue Choice Platinum PPO 501-in vitro
- Blue Choice Platinum PPO 810
- Blue Choice Platinum PPO 810-in vitro
- Blue Choice Platinum PPO 811
- Blue Choice Platinum PPO 811-in vitro
Coberturas Blue Advantage Platinum HMO
Fuera del Intercambio
- Blue Advantage Platinum HMO 202
- Blue Advantage Platinum HMO 202-in vitro
- Blue Advantage Platinum HMO 301
- Blue Advantage Platinum HMO 301-in vitro
- Blue Advantage Platinum HMO 501
- Blue Advantage Platinum HMO 501-in vitro
- Blue Advantage Platinum HMO 807
- Blue Advantage Platinum HMO 807-in vitro
- Blue Advantage Platinum HMO 808
- Blue Advantage Platinum HMO 808-in vitro
Planes Oro
Coberturas Blue Choice Gold PPO
Fuera del Intercambio
- PPO Oro de Blue Choice 112
- Blue Choice Gold PPO 112-in vitro
- PPO Oro de Blue Choice 114
- Blue Choice Gold PPO 114-in vitro
- PPO Oro de Blue Choice 117
- Blue Choice Gold PPO 117-in vitro
- PPO Oro de Blue Choice 203
- Blue Choice Gold PPO 203-in vitro
- PPO Oro de Blue Choice 204
- Blue Choice Gold PPO 204-in vitro
- PPO Oro de Blue Choice 801
- Blue Choice Gold PPO 801-in vitro
- PPO Oro de Blue Choice 819
- Blue Choice Gold PPO 819-in vitro
- PPO Oro de Blue Choice 820
- Blue Choice Gold PPO 820-in vitro
- PPO Oro de Blue Choice 822
- Blue Choice Gold PPO 822-in vitro
- PPO Oro de Blue Choice 823
- Blue Choice Gold PPO 823-in vitro
- PPO Oro de Blue Choice 830
- Blue Choice Gold PPO 830-in vitro
Coberturas Blue Advantage Gold HMO
Fuera del Intercambio
- Blue Advantage Gold HMO 203
- Blue Advantage Gold HMO 203-in vitro
- Blue Advantage Gold HMO 204
- Blue Advantage Gold HMO 204-in vitro
- Blue Advantage Gold HMO 801
- Blue Advantage Gold HMO 801-in vitro
- Blue Advantage Gold HMO 812
- Blue Advantage Gold HMO 812-in vitro
- Blue Advantage Gold HMO 814
- Blue Advantage Gold HMO 814-in vitro
- Blue Advantage Gold HMO 816
- Blue Advantage Gold HMO 816-in vitro
- Blue Advantage Gold HMO 817
- Blue Advantage Gold HMO 817-in vitro
- Blue Advantage Gold HMO 822
- Blue Advantage Gold HMO 822-in vitro
- Blue Advantage Gold HMO 830
- Blue Advantage Gold HMO 830-in vitro
- Blue Advantage Gold HMO 919
- Blue Advantage Gold HMO 919-in vitro
- Blue Advantage Gold HMO 922
- Blue Advantage Gold HMO 922-in vitro
- Blue Advantage Gold HMO 923
- Blue Advantage Gold HMO 923-in vitro
Planes Plata
Coberturas Blue Choice Silver PPO
Fuera del Intercambio
- PPO Plata de Blue Choice 101
- Blue Choice Silver PPO 101-in vitro
- PPO Plata de Blue Choice 102
- Blue Choice Silver PPO 102-in vitro
- PPO Plata de Blue Choice 118
- Blue Choice Silver PPO 118-in vitro
- PPO Plata de Blue Choice 120
- Blue Choice Silver PPO 120-in vitro
- PPO Plata de Blue Choice 135
- Blue Choice Silver PPO 135-in vitro
- PPO Plata de Blue Choice 146
- Blue Choice Silver PPO 146-in vitro
- PPO Plata de Blue Choice 201
- Blue Choice Silver PPO 201-in vitro
- PPO Plata de Blue Choice 401
- Blue Choice Silver PPO 401-in vitro
- PPO Plata de Blue Choice 402
- Blue Choice Silver PPO 402-in vitro
- PPO Plata de Blue Choice 803
- Blue Choice Silver PPO 803-in vitro
- PPO Plata de Blue Choice 824
- Blue Choice Silver PPO 824-in vitro
- PPO Plata de Blue Choice 825
- Blue Choice Silver PPO 825-in vitro
- PPO Plata de Blue Choice 827
- Blue Choice Silver PPO 827-in vitro
- PPO Plata de Blue Choice 834
- Blue Choice Silver PPO 834-in vitro
- PPO Plata de Blue Choice 844
- Blue Choice Silver PPO 844-in vitro
- PPO Plata de Blue Choice 845
- Blue Choice Silver PPO 845-in vitro
Coberturas Blue Advantage Silver HMO
Fuera del Intercambio
- Blue Advantage Silver HMO 101
- Blue Advantage Silver HMO 101-in vitro
- Blue Advantage Silver HMO 102
- Blue Advantage Silver HMO 102-in vitro
- Blue Advantage Silver HMO 120
- Blue Advantage Silver HMO 120-in vitro
- Blue Advantage Silver HMO 127
- Blue Advantage Silver HMO 127-in vitro
- Blue Advantage Silver HMO 134
- Blue Advantage Silver HMO 134-in vitro
- Blue Advantage Silver HMO 201
- Blue Advantage Silver HMO 201-in vitro
- Blue Advantage Silver HMO 401
- Blue Advantage Silver HMO 401-in vitro
- Blue Advantage Silver HMO 402
- Blue Advantage Silver HMO 402-in vitro
- Blue Advantage Silver HMO 803
- Blue Advantage Silver HMO 803-in vitro
- Blue Advantage Silver HMO 804
- Blue Advantage Silver HMO 804-in vitro
- Blue Advantage Silver HMO 818
- Blue Advantage Silver HMO 818-in vitro
- Blue Advantage Silver HMO 820
- Blue Advantage Silver HMO 820-in vitro
- Blue Advantage Silver HMO 846
- Blue Advantage Silver HMO 846-in vitro
- Blue Advantage Silver HMO 925
- Blue Advantage Silver HMO 925-in vitro
- Blue Advantage Silver HMO 935
- Blue Advantage Silver HMO 935-in vitro
- Blue Advantage Silver HMO 945
- Blue Advantage Silver HMO 945-in vitro
Planes Bronce
Coberturas Blue Choice Bronze PPO
Fuera del Intercambio
- PPO Bronce de Blue Choice 805
- Blue Choice Bronze PPO 805-in vitro
- PPO Bronce de Blue Choice 806
- Blue Choice Bronze PPO 806-in vitro
- PPO Bronce de Blue Choice 833
- Blue Choice Bronze PPO 833-in vitro
Coberturas Blue Advantage Bronze HMO
Fuera del Intercambio
- Blue Advantage Bronze HMO 806
- Blue Advantage Bronze HMO 806-in vitro
- Blue Advantage Bronze HMO 833
- Blue Advantage Bronze HMO 833-in vitro
- Blue Advantage Bronze HMO 905
- Blue Advantage Bronze HMO 905-in vitro
Coberturas Platino
Coberturas Blue Choice Advantage Platinum PPO
Fuera del Intercambio
- P9K3CHC Blue Choice Platinum PPO 202
- P9K4CHC Blue Choice Platinum PPO 202 - in vitro
- P9M1CHC Blue Choice Platinum PPO 301
- P9M2CHC Blue Choice Platinum PPO 301 - in vitro
- PPO Platino Blue Choice P9O3CHC 501
- P9O3CHC Blue Choice Platinum PPO 501 - in vitro
- P9AACHC Blue Choice Platinum PPO 601
- P9AACHCI Blue Choice Platinum PPO 601 - in vitro
- P620CHC Blue Choice Platinum PPO 810
- PV20CHC Blue Choice Platinum PPO 810 - in vitro
- P621CHC Blue Choice Platinum PPO 811
- PV21CHC Blue Choice Platinum PPO 811 - in vitro
Coberturas Blue Advantage Platinum HMO
Fuera del Intercambio
- P9K3ADT Blue Advantage Platinum HMO 202
- P9K4ADT Blue Advantage Platinum HMO 202 - in vitro
- P9M1ADT Blue Advantage Platinum HMO 301
- P9M2ADT Blue Advantage Platinum HMO 301 - in vitro
- Cobertura HMO Platino Blue Advantage P9O5ADT 501
- P9O6ADT Blue Advantage Platinum HMO 501 - in vitro
- P9AAADT Blue Advantage Platinum HMO 601
- P9AAADTI Blue Advantage Platinum HMO 601 - in vitro
- P610ADT Blue Advantage Platinum HMO 807
- PV10ADT Blue Advantage Platinum HMO 807 - in vitro
- P611ADT Blue Advantage Platinum HMO 808
- PV11ADT Blue Advantage Platinum HMO 808 - in vitro
Planes Oro
Coberturas Blue Choice Gold PPO
Fuera del Intercambio
- G9K6CHC Blue Choice Gold PPO 112
- G9K7CHC Blue Choice Gold PPO 112 - in vitro
- G9K8CHC Blue Choice Gold PPO 114
- G9K9CHC Blue Choice Gold PPO 114 - in vitro
- G9L1CHC Blue Choice Gold PPO 117
- G9L2CHC Blue Choice Gold PPO 117 - in vitro
- G9L5CHC Blue Choice Gold PPO 203
- G9L6CHC Blue Choice Gold PPO 203 - in vitro
- G9L7CHC Blue Choice Gold PPO 204
- G9L7CHC Blue Choice Gold PPO 204 - in vitro
- G9ABCHC Blue Choice Gold PPO 602
- G9ABCHCI Blue Choice Gold PPO 602 - in vitro
- G650CHC Blue Choice Gold PPO 801
- GV50CHC Blue Choice Gold PPO 801 - in vitro
- G651CHC Blue Choice Gold PPO 819
- GV51CHC Blue Choice Gold PPO 819 - in vitro
- G652CHC Blue Choice Gold PPO 820
- GV52CHC Blue Choice Gold PPO 820 - in vitro
- G653CHC Blue Choice Gold PPO 822
- GV53CHC Blue Choice Gold PPO 822 - in vitro
- G654CHC Blue Choice Gold PPO 823
- GV54CHC Blue Choice Gold PPO 823 - in vitro
- G656CHC Blue Choice Gold PPO 830
- GV56CHC Blue Choice Gold PPO 830 - in vitro
Coberturas Blue Advantage Gold HMO
Fuera del Intercambio
- G9K5ADT Blue Advantage Gold HMO 203
- G9K6ADT Blue Advantage Gold HMO 203 - in vitro
- G9K7ADT Blue Advantage Gold HMO 204
- G9K8ADT Blue Advantage Gold HMO 204 - in vitro
- G9ABADT Blue Advantage Gold HMO 602
- G9ABADTI Blue Advantage Gold HMO 602 - in vitro
- G660ADT Blue Advantage Gold HMO 801
- GV60ADT Blue Advantage Gold HMO 801 - in vitro
- G661ADT Blue Advantage Gold HMO 812
- GV61ADT Blue Advantage Gold HMO 812 - in vitro
- G662ADT Blue Advantage Gold HMO 814
- GV62ADT Blue Advantage Gold HMO 814 - in vitro
- G663ADT Blue Advantage Gold HMO 816
- GV63ADT Blue Advantage Gold HMO 816 - in vitro
- G664ADT Blue Advantage Gold HMO 817
- GV64ADT Blue Advantage Gold HMO 817 - in vitro
- G665ADT Blue Advantage Gold HMO 822
- GV65ADT Blue Advantage Gold HMO 822 - in vitro
- G666ADT Blue Advantage Gold HMO 830
- GV66ADT Blue Advantage Gold HMO 830 - in vitro
- G9E2ADT Blue Advantage Gold HMO 919
- G9E1ADT Blue Advantage Gold HMO 919 - in vitro
- G9E3ADT Blue Advantage Gold HMO 922
- G9E4ADT Blue Advantage Gold HMO 922 - in vitro
- G9E5ADT Blue Advantage Gold HMO 923
- G9E6ADT Blue Advantage Gold HMO 923 - in vitro
Planes Plata
Coberturas Blue Choice Silver PPO
- S9L3CHC Blue Choice Silver PPO 101
- S9L4CHC Blue Choice Silver PPO 101 - in vitro
- S9L5CHC Blue Choice Silver PPO 102
- S9L6CHC Blue Choice Silver PPO 102 - in vitro
- S9L9CHC Blue Choice Silver PPO 118
- S9M1CHC Blue Choice Silver PPO 118 - in vitro
- S9M4CHC Blue Choice Silver PPO 120
- S9M5CHC Blue Choice Silver PPO 120 - in vitro
- S9M2CHC Blue Choice Silver PPO 135
- S9M3CHC Blue Choice Silver PPO 135 - in vitro
- S9L7CHC Blue Choice Silver PPO 146
- S9L8CHC Blue Choice Silver PPO 146 - in vitro
- S9K1CHC Blue Choice Silver PPO 201
- S9K2CHC Blue Choice Silver PPO 201 - in vitro
- S9N1CHC Blue Choice Silver PPO 401
- S9N2CHC Blue Choice Silver PPO 401 - in vitro
- S9N3CHC Blue Choice Silver PPO 402
- S9N4CHC Blue Choice Silver PPO 402 - in vitro
- S9ACCHC Blue Choice Silver PPO 603
- S9ACCHCI Blue Choice Silver PPO 603 - in vitro
- S660CHC Blue Choice Silver PPO 803
- SV60CHC Blue Choice Silver PPO 803 - in vitro
- S661CHC Blue Choice Silver PPO 824
- SV61CHC Blue Choice Silver PPO 824 - in vitro
- S662CHC Blue Choice Silver PPO 825
- SV62CHC Blue Choice Silver PPO 825 - in vitro
- S663CHC Blue Choice Silver PPO 827
- SV63CHC Blue Choice Silver PPO 827 - in vitro
- S665CHC Blue Choice Silver PPO 834
- SV65CHC Blue Choice Silver PPO 834 - in vitro
- S666CHC Blue Choice Silver PPO 844
- SV66CHC Blue Choice Silver PPO 844 - in vitro
- S667CHC Blue Choice Silver PPO 845
- SV67CHC Blue Choice Silver PPO 845 - in vitro
Coberturas Blue Advantage Silver HMO
Fuera del Intercambio
- S9J3ADT Blue Advantage Silver HMO 101
- S9J4ADT Blue Advantage Silver HMO 101 - in vitro
- S9J5ADT Blue Advantage Silver HMO 102
- S9J6ADT Blue Advantage Silver HMO 102 - in vitro
- S9K2ADT Blue Advantage Silver HMO 120
- S9J7ADT Blue Advantage Silver HMO 127
- S9J8ADT Blue Advantage Silver HMO 127 - in vitro
- S9J9ADT Blue Advantage Silver HMO 134
- S9K1ADT Blue Advantage Silver HMO 134 - in vitro
- S9L1ADT Blue Advantage Silver HMO 201
- S9L2ADT Blue Advantage Silver HMO 201 - in vitro
- S9N1ADT Blue Advantage Silver HMO 401
- S9N2ADT Blue Advantage Silver HMO 401 - in vitro
- S9N3ADT Blue Advantage Silver HMO 402
- S9N4ADT Blue Advantage Silver HMO 402 - in vitro
- S9ACADT Blue Advantage Silver HMO 603
- S9ACADTI Blue Advantage Silver HMO 603 - in vitro
- S640ADT Blue Advantage Silver HMO 803
- SV40ADT Blue Advantage Silver HMO 803 - in vitro
- S641ADT Blue Advantage Silver HMO 804
- SV41ADT Blue Advantage Silver HMO 804 - in vitro
- S642ADT Blue Advantage Silver HMO 818
- SV42ADT Blue Advantage Silver HMO 818 - in vitro
- S643ADT Blue Advantage Silver HMO 820
- SV43ADT Blue Advantage Silver HMO 820 - in vitro
- S644ADT Blue Advantage Silver HMO 846
- SV44ADT Blue Advantage Silver HMO 846 - in vitro
- S9E1ADT Blue Advantage Silver HMO 925
- S9E2ADT Blue Advantage Silver HMO 925 - in vitro
- S9E3ADT Blue Advantage Silver HMO 935
- S9E4ADT Blue Advantage Silver HMO 935 - in vitro
- S9E5ADT Blue Advantage Silver HMO 945
- S9E6ADT Blue Advantage Silver HMO 945 - in vitro
Planes Bronce
Coberturas Blue Choice Bronze PPO
Fuera del Intercambio
- B660CHC Blue Choice Bronze PPO 805
- BV60CHC Blue Choice Bronze PPO 805 - in vitro
- B661CHC Blue Choice Bronze PPO 806
- BV61CHC Blue Choice Bronze PPO 806 - in vitro
- B662CHC Blue Choice Bronze PPO 833
- BV62CHC Blue Choice Bronze PPO 833 - in vitro
Coberturas Blue Advantage Bronze HMO
Fuera del Intercambio
Coberturas Platino
Coberturas Blue Choice Advantage Platinum PPO
Fuera del Intercambio
- P9K3CHC Blue Choice Platinum PPO 202
- P9K4CHC Blue Choice Platinum PPO 202 – in vitro
- P9M1CHC Blue Choice Platinum PPO 301
- PPO Platino Blue Choice P9O3CHC 501
- PPO Platino Blue Choice P9O3CHC 501-in vitro
- P620CHC Blue Choice Platinum PPO 810
- PV20CHC Blue Choice Platinum PPO 810-in vitro
- P621CHC Blue Choice Platinum PPO 811
- PV21CHC Blue Choice Platinum PPO 811-in vitro
Coberturas Blue Advantage Platinum HMO
Fuera del Intercambio
- P9K3ADT Blue Advantage Platinum HMO 202
- P9K4ADT Blue Advantage Platinum HMO 202 – in vitro
- P9M1ADT Blue Advantage Platinum HMO 301
- Cobertura HMO Platino Blue Advantage P9O5ADT 501
- Cobertura HMO Platino Blue Advantage P9O6ADT 501-in vitro
- P610ADT Blue Advantage Platinum HMO 807
- PV10ADT Blue Advantage Platinum HMO 807-in vitro
- P611ADT Blue Advantage Platinum HMO 808
- PV11ADT Blue Advantage Platinum HMO 808-in vitro
Planes Oro
Coberturas Blue Choice Gold PPO
Fuera del Intercambio
- G9K6CHC Blue Choice Gold PPO 112
- G9K7CHC Blue Choice Gold PPO 112-in-vitro
- G9K8CHC Blue Choice Gold PPO 114
- G9K9CHC Blue Choice Gold PPO 114-in-vitro
- G9L1CHC Blue Choice Gold PPO 117
- G9L2CHC Blue Choice Gold PPO 117-in-vitro
- G9L5CHC Blue Choice Gold PPO 203
- G9L6CHC Blue Choice Gold PPO 203 - in vitro
- G9L7CHC Blue Choice Gold PPO 204
- G9L7CHC Blue Choice Gold PPO 204 -in vitro
- G650CHC Blue Choice Gold PPO 801
- GV50CHC Blue Choice Gold PPO 801-in vitro
- G651CHC Blue Choice Gold PPO 819
- GV51CHC Blue Choice Gold PPO 819-in vitro
- G652CHC Blue Choice Gold PPO 820
- GV52CHC Blue Choice Gold PPO 820-in vitro
- G653CHC Blue Choice Gold PPO 822
- GV53CHC Blue Choice Gold PPO 822-in vitro
- G654CHC Blue Choice Gold PPO 823
- GV54CHC Blue Choice Gold PPO 823-in vitro
- G656CHC Blue Choice Gold PPO 830
- GV56CHC Blue Choice Gold PPO 830-in vitro
Coberturas Blue Advantage Gold HMO
Fuera del Intercambio
- G9K5ADT Blue Advantage Gold HMO 203
- G9K6ADT Blue Advantage Gold HMO 203 -in vitro
- G9K7ADT Blue Advantage Gold HMO 204
- G9K8ADT Blue Advantage Gold HMO 204 -in vitro
- G660ADT Blue Advantage Gold HMO 801
- GV60ADT Blue Advantage Gold HMO 801-in vitro
- G661ADT Blue Advantage Gold HMO 812
- GV61ADT Blue Advantage Gold HMO 812-in vitro
- G662ADT Blue Advantage Gold HMO 814
- GV62ADT Blue Advantage Gold HMO 814-in vitro
- G663ADT Blue Advantage Gold HMO 816
- GV63ADT Blue Advantage Gold HMO 816-in vitro
- G664ADT Blue Advantage Gold HMO 817
- GV64ADT Blue Advantage Gold HMO 817-in vitro
- G665ADT Blue Advantage Gold HMO 822
- GV65ADT Blue Advantage Gold HMO 822-in vitro
- G666ADT Blue Advantage Gold HMO 830
- GV66ADT Blue Advantage Gold HMO 830-in vitro
- G9E2ADT Blue Advantage Gold HMO 919
- G9E1ADT Blue Advantage Gold HMO 919-in vitro
- G9E3ADT Blue Advantage Gold HMO 922
- G9E4ADT Blue Advantage Gold HMO 922-in vitro
- G9E5ADT Blue Advantage Gold HMO 923
- G9E6ADT Blue Advantage Gold HMO 923-in vitro
Planes Plata
Coberturas Blue Choice Silver PPO
Fuera del Intercambio
- S9L3CHC Blue Choice Silver PPO 101
- S9L4CHC Blue Choice Silver PPO 101-in-vitro
- S9L5CHC Blue Choice Silver PPO 102
- S9L6CHC Blue Choice Silver PPO 102-in-vitro
- S9L9CHC Blue Choice Silver PPO 118
- S9M1CHC Blue Choice Silver PPO 118-in-vitro
- S9M4CHC Blue Choice Silver PPO 120
- S9M5CHC Blue Choice Silver PPO 120-in vitro
- S9M2CHC Blue Choice Silver PPO 135
- S9M3CHC Blue Choice Silver PPO 135-in-vitro
- S9L7CHC Blue Choice Silver PPO 146
- S9L8CHC Blue Choice Silver PPO 146-in-vitro
- S9K1CHC Blue Choice Silver PPO 201
- S9K2CHC Blue Choice Silver PPO 201 – in vitro
- S9N1CHC Blue Choice Silver PPO 401
- S9N2CHC Blue Choice Silver PPO 401 - in vitro
- S9N3CHC Blue Choice Silver PPO 402
- S9N4CHC Blue Choice Silver PPO 402 – in vitro
- S660CHC Blue Choice Silver PPO 803
- SV60CHC Blue Choice Silver PPO 803-in vitro
- S661CHC Blue Choice Silver PPO 824
- SV61CHC Blue Choice Silver PPO 824-in vitro
- S662CHC Blue Choice Silver PPO 825
- SV62CHC Blue Choice Silver PPO 825-in vitro
- S663CHC Blue Choice Silver PPO 827
- SV63CHC Blue Choice Silver PPO 827-in vitro
- S665CHC Blue Choice Silver PPO 834
- SV65CHC Blue Choice Silver PPO 834-in vitro
- S666CHC Blue Choice Silver PPO 844
- SV66CHC Blue Choice Silver PPO 844-in vitro
- S667CHC Blue Choice Silver PPO 845
- SV67CHC Blue Choice Silver PPO 845-in vitro
Coberturas Blue Advantage Silver HMO
Fuera del Intercambio
- S9J3ADT Blue Advantage Silver HMO 101
- S9J4ADT Blue Advantage Silver HMO 101-in-vitro
- S9J5ADT Blue Advantage Silver HMO 102
- S9J6ADT Blue Advantage Silver HMO 102-in-vitro
- S9K2ADT Blue Advantage Silver HMO 120
- S9J7ADT Blue Advantage Silver HMO 127
- S9J8ADT Blue Advantage Silver HMO 127-in-vitro
- S9J9ADT Blue Advantage Silver HMO 134
- S9K1ADT Blue Advantage Silver HMO 134-in-vitro
- S9L1ADT Blue Advantage Silver HMO 201
- S9L2ADT Blue Advantage Silver HMO 201 – in vitro
- S9N1ADT Blue Advantage Silver HMO 401
- S9N2ADT Blue Advantage Silver HMO 401-in vitro
- S9N3ADT Blue Advantage Silver HMO 402
- S9N4ADT Blue Advantage Silver HMO 402-in vitro
- S640ADT Blue Advantage Silver HMO 803
- SV40ADT Blue Advantage Silver HMO 803-in vitro
- S641ADT Blue Advantage Silver HMO 804
- SV41ADT Blue Advantage Silver HMO 804-in vitro
- S642ADT Blue Advantage Silver HMO 818
- SV42ADT Blue Advantage Silver HMO 818-in vitro
- S643ADT Blue Advantage Silver HMO 820
- SV43ADT Blue Advantage Silver HMO 820-in vitro
- S644ADT Blue Advantage Silver HMO 846
- SV44ADT Blue Advantage Silver HMO 846-in vitro
- S9E1ADT Blue Advantage Silver HMO 925
- S9E2ADT Blue Advantage Silver HMO 925-in vitro
- S9E3ADT Blue Advantage Silver HMO 935
- S9E4ADT Blue Advantage Silver HMO 935-in vitro
- S9E5ADT Blue Advantage Silver HMO 945
- S9E6ADT Blue Advantage Silver HMO 945-in vitro
Planes Bronce
Coberturas Blue Choice Bronze PPO
Fuera del Intercambio
- B660CHC Blue Choice Bronze PPO 805
- BV60CHC Blue Choice Bronze PPO 805-in vitro
- B661CHC Blue Choice Bronze PPO 806
- BV61CHC Blue Choice Bronze PPO 806-in vitro
- B662CHC Blue Choice Bronze PPO 833
- BV62CHC Blue Choice Bronze PPO 833-in vitro
Coberturas Blue Advantage Bronze HMO
Fuera del Intercambio
- B660ADT Blue Advantage Bronze HMO 806
- BV60ADT Blue Advantage Bronze HMO 806-in vitro
- B661ADT Blue Advantage Bronze HMO 833
- BV61ADT Blue Advantage Bronze HMO 833-in vitro
- B9E1ADT Blue Advantage Bronze HMO 905
- B9E2ADT Blue Advantage Bronze HMO 905 -in vitro
Coberturas Platino
Coberturas Blue Choice Advantage Platinum PPO
Fuera del Intercambio
- P9K3CHC Blue Choice Platinum PPO 202
- P9K4CHC Blue Choice Platinum PPO 202 – in vitro
- P9M1CHC Blue Choice Platinum PPO 301
- P9M2CHC Blue Choice Platinum PPO 301-in vitro
- P620CHC Blue Choice Platinum PPO 810
- PV20CHC Blue Choice Platinum PPO 810-in vitro
- P621CHC Blue Choice Platinum PPO 811
- PV21CHC Blue Choice Platinum PPO 811-in vitro
Coberturas Blue Advantage Platinum HMO
Fuera del Intercambio
- P9K3ADT Blue Advantage Platinum HMO 202
- P9K4ADT Blue Advantage Platinum HMO 202 – in vitro
- P9M1ADT Blue Advantage Platinum HMO 301
- P9M2ADT Blue Advantage Platinum HMO 301-in vitro
- P610ADT Blue Advantage Platinum HMO 807
- PV10ADT Blue Advantage Platinum HMO 807-in vitro
- P611ADT Blue Advantage Platinum HMO 808
- PV11ADT Blue Advantage Platinum HMO 808-in vitro
Planes Oro
Coberturas Blue Choice Gold PPO
Fuera del Intercambio
- G9K4CHC Blue Choice Gold PPO 103
- G9K5CHC Blue Choice Gold PPO 103-in-vitro
- G9K6CHC Blue Choice Gold PPO 112
- G9K7CHC Blue Choice Gold PPO 112-in-vitro
- G9K8CHC Blue Choice Gold PPO 114
- G9K9CHC Blue Choice Gold PPO 114-in-vitro
- G9L1CHC Blue Choice Gold PPO 117
- G9L2CHC Blue Choice Gold PPO 117-in-vitro
- G9L5CHC Blue Choice Gold PPO 203
- G9L6CHC Blue Choice Gold PPO 203 - in vitro
- G9L7CHC Blue Choice Gold PPO 204
- G9L7CHC Blue Choice Gold PPO 204 -in vitro
- G650CHC Blue Choice Gold PPO 801
- GV50CHC Blue Choice Gold PPO 801-in vitro
- G651CHC Blue Choice Gold PPO 819
- GV51CHC Blue Choice Gold PPO 819-in vitro
- G652CHC Blue Choice Gold PPO 820
- GV52CHC Blue Choice Gold PPO 820-in vitro
- G653CHC Blue Choice Gold PPO 822
- GV53CHC Blue Choice Gold PPO 822-in vitro
- G654CHC Blue Choice Gold PPO 823
- GV54CHC Blue Choice Gold PPO 823-in vitro
- G656CHC Blue Choice Gold PPO 830
- GV56CHC Blue Choice Gold PPO 830-in vitro
Coberturas Blue Advantage Gold HMO
Fuera del Intercambio
- G9J1ADT Blue Advantage Gold HMO 103
- G9J2ADT Blue Advantage Gold HMO 103-in vitro
- G9K5ADT Blue Advantage Gold HMO 203
- G9K6ADT Blue Advantage Gold HMO 203 -in vitro
- G9K7ADT Blue Advantage Gold HMO 204
- G9K8ADT Blue Advantage Gold HMO 204 -in vitro
- G660ADT Blue Advantage Gold HMO 801
- GV60ADT Blue Advantage Gold HMO 801-in vitro
- G661ADT Blue Advantage Gold HMO 812
- GV61ADT Blue Advantage Gold HMO 812-in vitro
- G662ADT Blue Advantage Gold HMO 814
- GV62ADT Blue Advantage Gold HMO 814-in vitro
- G663ADT Blue Advantage Gold HMO 816
- GV63ADT Blue Advantage Gold HMO 816-in vitro
- G664ADT Blue Advantage Gold HMO 817
- GV64ADT Blue Advantage Gold HMO 817-in vitro
- G665ADT Blue Advantage Gold HMO 822
- GV65ADT Blue Advantage Gold HMO 822-in vitro
- G666ADT Blue Advantage Gold HMO 830
- GV66ADT Blue Advantage Gold HMO 830-in vitro
- G9E2ADT Blue Advantage Gold HMO 919
- G9E1ADT Blue Advantage Gold HMO 919-in vitro
- G9E3ADT Blue Advantage Gold HMO 922
- G9E4ADT Blue Advantage Gold HMO 922-in vitro
- G9E5ADT Blue Advantage Gold HMO 923
- G9E6ADT Blue Advantage Gold HMO 923-in vitro
Planes Plata
Coberturas Blue Choice Silver PPO
Fuera del Intercambio
- S9L3CHC Blue Choice Silver PPO 101
- S9L4CHC Blue Choice Silver PPO 101-in-vitro
- S9L5CHC Blue Choice Silver PPO 102
- S9L6CHC Blue Choice Silver PPO 102-in-vitro
- S9L9CHC Blue Choice Silver PPO 118
- S9M1CHC Blue Choice Silver PPO 118-in-vitro
- S9M4CHC Blue Choice Silver PPO 120
- S9M5CHC Blue Choice Silver PPO 120-in vitro
- S9M2CHC Blue Choice Silver PPO 135
- S9M3CHC Blue Choice Silver PPO 135-in-vitro
- S9L7CHC Blue Choice Silver PPO 146
- S9L8CHC Blue Choice Silver PPO 146-in-vitro
- S9K1CHC Blue Choice Silver PPO 201
- S9K2CHC Blue Choice Silver PPO 201 – in vitro
- S9N1CHC Blue Choice Silver PPO 401
- S9N2CHC Blue Choice Silver PPO 401 - in vitro
- S9N3CHC Blue Choice Silver PPO 402
- S9N4CHC Blue Choice Silver PPO 402 – in vitro
- S660CHC Blue Choice Silver PPO 803
- SV60CHC Blue Choice Silver PPO 803-in vitro
- S661CHC Blue Choice Silver PPO 824
- SV61CHC Blue Choice Silver PPO 824-in vitro
- S662CHC Blue Choice Silver PPO 825
- SV62CHC Blue Choice Silver PPO 825-in vitro
- S663CHC Blue Choice Silver PPO 827
- SV63CHC Blue Choice Silver PPO 827-in vitro
- S665CHC Blue Choice Silver PPO 834
- SV65CHC Blue Choice Silver PPO 834-in vitro
- S666CHC Blue Choice Silver PPO 844
- SV66CHC Blue Choice Silver PPO 844-in vitro
- S667CHC Blue Choice Silver PPO 845
- SV67CHC Blue Choice Silver PPO 845-in vitro
Coberturas Blue Advantage Silver HMO
Fuera del Intercambio
- S9J3ADT Blue Advantage Silver HMO 101
- S9J4ADT Blue Advantage Silver HMO 101-in-vitro
- S9J5ADT Blue Advantage Silver HMO 102
- S9J6ADT Blue Advantage Silver HMO 102-in-vitro
- S9K2ADT Blue Advantage Silver HMO 120
- S9J7ADT Blue Advantage Silver HMO 127
- S9J8ADT Blue Advantage Silver HMO 127-in-vitro
- S9J9ADT Blue Advantage Silver HMO 134
- S9K1ADT Blue Advantage Silver HMO 134-in-vitro
- S9L1ADT Blue Advantage Silver HMO 201
- S9L2ADT Blue Advantage Silver HMO 201 – in vitro
- S9N1ADT Blue Advantage Silver HMO 401
- S9N2ADT Blue Advantage Silver HMO 401-in vitro
- S9N3ADT Blue Advantage Silver HMO 402
- S9N4ADT Blue Advantage Silver HMO 402-in vitro
- S640ADT Blue Advantage Silver HMO 803
- SV40ADT Blue Advantage Silver HMO 803-in vitro
- S641ADT Blue Advantage Silver HMO 804
- SV41ADT Blue Advantage Silver HMO 804-in vitro
- S642ADT Blue Advantage Silver HMO 818
- SV42ADT Blue Advantage Silver HMO 818-in vitro
- S643ADT Blue Advantage Silver HMO 820
- SV43ADT Blue Advantage Silver HMO 820-in vitro
- S644ADT Blue Advantage Silver HMO 846
- SV44ADT Blue Advantage Silver HMO 846-in vitro
- S9E1ADT Blue Advantage Silver HMO 925
- S9E2ADT Blue Advantage Silver HMO 925-in vitro
- S9E3ADT Blue Advantage Silver HMO 935
- S9E4ADT Blue Advantage Silver HMO 935-in vitro
- S9E5ADT Blue Advantage Silver HMO 945
- S9E6ADT Blue Advantage Silver HMO 945-in vitro
Planes Bronce
Coberturas Blue Choice Bronze PPO
Fuera del Intercambio
- B660CHC Blue Choice Bronze PPO 805
- BV60CHC Blue Choice Bronze PPO 805-in vitro
- B661CHC Blue Choice Bronze PPO 806
- BV61CHC Blue Choice Bronze PPO 806-in vitro
- B662CHC Blue Choice Bronze PPO 833
- BV62CHC Blue Choice Bronze PPO 833-in vitro
Coberturas Blue Advantage Bronze HMO
Fuera del Intercambio
- B660ADT Blue Advantage Bronze HMO 806
- BV60ADT Blue Advantage Bronze HMO 806-in vitro
- B661ADT Blue Advantage Bronze HMO 833
- BV61ADT Blue Advantage Bronze HMO 833-in vitro
- B9E1ADT Blue Advantage Bronze HMO 905
- B9E2ADT Blue Advantage Bronze HMO 905 -in vitro
Última actualización: 17 de septiembre de 2026