Premera Blue Cross

Premera Blue Cross - Online application

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Benefit Schedules:
Protector Plus 20 | Value Plus 30 | Preferred Plus 30 | Preferred Plus 20
Rate Schedules:
Protector Plus 20 | Value Plus 30 | Preferred Plus 30 | Preferred Plus 20

• Mental or psychiatric condition
• Learning disorders
• Neurodevelopmental disabilities
• Chemical dependency or tobacco addiction
• Infertility
• Sexual dysfunction
• Sterilization or its reversal
• Maternity or obstetrical care care (except for complications of pregnancy) not covered on Heritage Value Plus or Heritage Protector Plus plans
• Obesity/morbid obesity
• Cosmetic or reconstructive surgery (except as specifically provided)
• Dental services (except as specifically provided)
• Vision exams and eyewear not covered on Heritage Value Plus or Heritage Protector Plus plans
• Hearing examinations or hardware
• Temporomandibular joint disorder (TMJ)
• Orthognathic surgery
• Services payable by other types of insurance coverage
• Experimental or investigative services
• Over-the-counter or non-prescription drugs
• Services in excess of specified benefit maximums
• Services received when you are not covered by this program