HSA Comprehensive Major Medical PPO High Option
The HSA Comprehensive Major Medical (CMM) PPO High Option plans offers comprehensive coverage for everything from inpatient care to outpatient care, laboratory tests and x-rays to office visits. This plan has $2,500 deductible for self-only coverage or a $5,000 deductible for a family. Once your full deductible is met, the plan pays 80% of your covered benefits for general services in-network and you pay the remaining 20% as your coinsurance. Preventative services are covered 100% with no deductible, coinsurance or copayment requirement. .
There is an additional 20% coinsurance required for out-of-network services. The maximum you'll pay in coinsurances for general in-network services is $1,000 per calendar year. At that point, the plan pays 100% of your covered benefits for general in-network services for the remainder of that calendar year.
Blue Preferred PPO network
When you belong to our HSA CMM-PPO plan, you'll have an entire network of more than 16,000 Blue Preferred Provider Organization (PPO) physicians and more than 140 hospitals in Michigan available to you to get the best benefits at the best price. The network also extends nationwide for those who travel out of state. Most services are also covered if you choose to use a provider who is not in the PPO network, however, you will be responsible for higher copayments, and some services may not be covered.

