Preferred HMO Virtual Primary Care

Pharmacy & Prescription
2023 Dental & Vision Plans
Value Added Services
Blue Cross Personalized Medicine and Digital Tools

100

The two metal options available with this plan 

What are Silver and Bronze

100

The plan option that provides an integrated medical and prescription deductible

What is every plan option 

100

The three dental network options that are available to prospective members  

What are Blue Dental PPO, Blue Dental PPO+, and Blue Dental EPO

100

The three methods available for online doctor visits 

What are mobile, web, and phone 

100

The term used to describe a subgroup of precision medicine that uses an individual’s unique genetic makeup to guide medication treatment options rather than using a “one-drug-fits-all” approach with therapies used to treat an entire population.

What is Pharmacogenomics

200

The member cost amount for a virtual PCP office visit

What is a dollar

200

Tier 1, 2 & 3 drugs have a 30-day supply limit in these months

What are November and December

200

This dental network option provides no coverage for out-of-network services 

What is Blue Dental EPO 

200

Provide Individual, Family and Group therapy from the comfort of your home 

What is online behavioral health

200

The genetic test that analyzes genes that may have an effect on how your body responds to certain medications, including those prescribed for cardiovascular disease, psychiatric conditions, pain, oncology support, and more.

What is the RightMed test 

300

The name of the network used for specialist and facilities 

What is the Preferred Network

300

Plan members are able to use either of these two pharmacies for specialty drugs

What are AllianceRx or Walgreens Prime 

300

This network should be the first one used to determine if a prospective member's dentist is in-network or not. 


What is the Blue Dental PPO network

300

This Well Being Program is used to determine personal health risks and find out what can be done to improve your health

What is a Health Assessment 

300

A digital resilience and behavioral health solution that provides members with self-guided tools and video modules.

What is Livongo

400

The location where plan members are able to schedule virtual PCP visits

What is anywhere! 

400

In this plan design, generic medication is divided into two categories: Tier 1A (Preferred Generics) and Tier 1B (Non-Preferred Generics)  

What is the HMO pharmacy Tier structure

400

The two plan options that provide vision benefits

What are Package Adult Vision Benefits (vision combined with dental) and Stand-Alone adult Vision Benefits

400

This Well-Being program contains a dashboard of quizzes, checklists, articles, videos, activities and images of the stages of fetal development. 

What is My Pregnancy Assistant

400

With this digital tool members are able to: View deductibles & other plan balances, check claims & explanation of benefits, see & search for plan services, view & share plan ID cards and more


What is the BCBSM Mobile App 

500

These medical services do not require members to obtain a referral prior to seeking care 

What are: Urgent Care, ER visits, behavioral health or women's health services 

500

The term used to describe a plan that combines both medical and prescription costs into the deductible 

What is integrated 

500

This network is used for both vision plans options

What is the VSP Choice network 

500

This valuable resource allows you to search for a variety of health topics categorized by conditions, general health and procedures and surgeries

What are WebMD Health Topics

500

This interactive platform connects members with their care teams through two-way communication and engagement

What is the BCBSM Coordinated Care App