Search Many options are available for group coverage. This overview includes typical coverage and benefits available under a standard group option and is not intended as a complete list of benefits or options. Benefits may vary based on the specific contract that you have. If you have Comprehensive Major Medical, please contact your benefits administrator for benefit information specific to your group plan.
All benefits are subject to a yearly deductible.
After you meet your deductible, Comprehensive Major Medical pays a percentage of either the Blue Cross and Blue Shield allowance or the provider's actual charge, whichever is less. You are responsible for the remaining percentage, up to the allowance, when you receive services from a participating provider. The coinsurance percentage varies according to your group's plan and benefits. Once you reach this maximum for covered services, Comprehensive Major Medical pays 100 percent of the allowance for covered services received from participating providers. Your deductible does not apply to these services.