• 
  BLUE CROSS PPO PLAN
  Caring for you and your family
  
  
  
  

• PORAC Prudent Buyer Plan

• Benefits

• Pharmacy

• Eligibility

• Contacts

• Authorization Form

• Blue Cross Rates
  

PORAC Prudent Buyer Plan

Since 1986, the PORAC Prudent Buyer Plan has been providing *eligible PORAC members with a PPO Health Plan that is consistently one of the highest rated programs under CalPERS for overall member satisfaction. PORAC originally chose to provide the Members with a PPO Plan versus an HMO Plan because our Members require and deserve high-quality, immediate medical care that is rich in preventive benefits.

The PORAC Blue Cross PPO Plan allows you:

• Freedom to choose any licensed health care provider your condition warrants.

• To chose a physician from the 40,000 participating physicians in the Blue Cross Physician Network.

• High quality and comprehensive coverage.

PORAC continues to praise the PPO Philosophy because we realize that HMO’s typically delay referrals to, and for, specialists, diagnostic testing, and aggressive medical treatment. These delay tactics have resulted in life threatening situations that could have been avoided and are completely unnecessary. The old adage "you get what you pay for" really applies when factoring the costs of medical care.

Although our health plan is a PPO, we are still able to offer the following benefits with very little costs to the Member.

The PORAC Health Plan is a 90/10 plan; Blue Cross pays 90% of the health care costs and the member pays 10%. PORAC’s Plan has rich benefits in the Maternity and Family Planning areas as well as the Mental Disorders and Substance Abuse areas. 

Click to view 2002 Summary of Benefits. 

Click to view 2003 Summary of Benefits. 

Click to view 2004 Summary of Benefits. 

*Eligible PORAC Members are those Members who receive their medical coverage through the CalPERS health program. Reminder: The CalPERS Open Enrollment period commences every year on September 1st, and continues through October 15^th.

There is a BIG difference in medical plans. Not only does our health plan offer a PORAC ONLY Blue Cross designated Customer Service Unit, complete with a PORAC toll free number, our Members can also contact Maria Jimenez at PORAC Headquarters for assistance with treatment approval, billing and benefit questions. Having people on your side willing to assist you is a rare but vital component of any health plan, and the PORAC I&B is here to make your health care needs and experiences as smooth and hassle-free as possible.  

If you are interested in receiving more information about the PORAC Blue Cross PPO Plan, please call the PORAC Blue Cross customer service phone number at 1-800-288-6928, or Contact Maria Jimenez at PORAC Headquarters at 1-800-937-6722, or e-mail IandB@PORAC.org.

Click for Authorization Form;

The following are the PORAC Blue Cross Rates for 2003.

 

PORAC Insurance and Benefits Program
2495 Natomas Park Drive, Suite 555, Sacramento, California 95833-2935
Phone: 1-800-937-6722
E-mail: IandB@PORAC.org