Plan Year 2016 Individual Retail Products
Links to Summaries of Benefits and Coverage (SBC), Outlines of Coverage (OOC) and Plan Comparison Chart
documents for all* Blue Cross and Blue Shield of Illinois (BCBSIL) products in the under 65 retail market.
PLAN Comparison Charts
COMPARISON CHART
Marketplace Charts
Non Marketplace Charts
n/a
English ● Spanish
BCBSIL Gold Plan Comparison Chart
English ● Spanish
English ● Spanish
BCBSIL Silver Plan Comparison Chart
English ● Spanish
English ● Spanish
BCBSIL Bronze Plan Comparison Chart
English ● Spanish
English ● Spanish
BCBSIL Multi-State Plan Comparison Chart
English ● Spanish
n/a
BCBSIL Platinum Plan Comparison Chart
PLATINUM Plan
Marketplace or
Non Marketplace**
Link to SBC Document
Link to OOC Document
Non Marketplace
Summary of Benefits
Outline of Coverage
Marketplace or
Non Marketplace**
Link to SBC Document
Link to OOC Document
Marketplace
Summary of Benefits
Outline of Coverage
Blue Precision Gold HMO 101
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Precision Gold HMO 101
Marketplace
Summary of Benefits
Outline of Coverage
BlueCare Direct Gold 101 with Advocate
Non Marketplace
Summary of Benefits
Outline of Coverage
BlueCare Direct Gold 101 with Advocate
Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Gold PPO 101
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Gold PPO 101
Marketplace
Summary of Benefits
Outline of Coverage
PLAN NAME
Blue Precision Platinum HMO 104
GOLD Plans
PLAN NAME
Blue Cross Blue Shield Premier 101, a Multi-State Plan
11-20-2015
BCBSI L 2 0 1 6 I NDI VI DU AL R E T AI L PR O DU CT S
P AGE 1 O F 3
SILVER Plans
PLAN NAME
Blue Cross Blue Shield Solution 102, a Multi-State Plan
Blue Choice Preferred Silver PPO 102
Blue Choice Preferred Silver PPO 102
Marketplace or
Non Marketplace**
Link to SBC Document
Link to OOC Document
Marketplace
Summary of Benefits
Outline of Coverage
Non Marketplace
Summary of Benefits
Outline of Coverage
Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Silver PPO 103 - Three $0 PCP Visits
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Silver PPO 103 - Three $0 PCP Visits
Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Silver PPO 104
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Silver PPO 104
Marketplace
Summary of Benefits
Outline of Coverage
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Precision Silver HMO 102
Blue Precision Silver HMO 102
Marketplace
Summary of Benefits
Outline of Coverage
BlueCare Direct Silver 102 with Advocate
Non Marketplace
Summary of Benefits
Outline of Coverage
BlueCare Direct Silver 102 with Advocate
Marketplace
Summary of Benefits
Outline of Coverage
Marketplace or
Non Marketplace**
Link to SBC Document
Link to OOC Document
Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Bronze PPO 105
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Bronze PPO 105
Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Bronze PPO 106
Non Marketplace
Summary of Benefits
Outline of Coverage
BRONZE Plans
PLAN NAME
Blue Cross Blue Shield Basic 103, a Multi-State Plan
Blue Choice Preferred Bronze PPO 106
Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Bronze PPO 107 - One $0 PCP Visit
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Bronze PPO 107 - One $0 PCP Visit
Marketplace
Summary of Benefits
Outline of Coverage
Blue Precision Bronze HMO 103
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Precision Bronze HMO 103
Marketplace
Summary of Benefits
Outline of Coverage
BlueCare Direct Bronze 103 with Advocate
Non Marketplace
Summary of Benefits
Outline of Coverage
BlueCare Direct Bronze 103 with Advocate
Marketplace
Summary of Benefits
Outline of Coverage
11-20-2015
BCBSI L 2 0 1 6 I NDI VI DU AL R E T AI L PR O DU CT S
P AGE 2 O F 3
CATASTROPHIC Plans
Marketplace or
Non Marketplace**
Link to SBC Document
Link to OOC Document
Blue Choice Preferred Security PPO 100
Non Marketplace
Summary of Benefits
Outline of Coverage
Blue Choice Preferred Security PPO 100
Marketplace
Summary of Benefits
Outline of Coverage
PLAN NAME
* This document includes links to SBCs and OOCs for standard plans only; plan variances for consumers that qualify for additional cost reductions are not included.
** Marketplace = On Exchange; Non-Marketplace = Off Exchange
11-20-2015
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P AGE 3 O F 3