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    v1.0.31
    OpenPayerPolicy UpdatesClinical/Medical PolicyArkansas BCBS HSA PPO Policy Update | OpenPayer
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    CurrentArkansas Blue Cross and Blue ShieldPolicy 17-239

    BLUE~BY~DESIGN HSA Comprehensive Major Medical Preferred Provider Organization Group Benefit Certificate

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    This Benefit Certificate governs coverage, cost sharing, provider-network payment, and benefit administration for members enrolled in the BLUE~BY~DESIGN HSA Comprehensive Major Medical Preferred Provider Organization group plan. The attached Schedule of Benefits identifies the applicable deductibles, coinsurance, maximums, and effective date.

    Policy Summary
    PayerArkansas Blue Cross and Blue Shield
    PolicyBLUE~BY~DESIGN HSA Comprehensive Major Medical PPO Group Benefit Certificate
    Policy CodePolicy 17-239
    Change TypeNo material change
    Effective DateJan 1, 2026
    Next Review DateNot specified
    Key ActionReview the Schedule of Benefits for applicable deductibles, coinsurance, and benefit limits.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    UnlimitedLifetime maximum benefit per covered person
    $3,000/$6,000In-network calendar-year deductible
    $9,000/$18,000Out-of-network calendar-year deductible
    0%

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    In-network preventive health services coinsurance
    20%In-network coinsurance for other covered expenses

    Policy Background

    This document is a Benefit Certificate for the BLUE~BY~DESIGN HSA Comprehensive Major Medical PPO plan. It describes covered medical services, benefit limitations, exclusions, eligibility, provider-network requirements, cost sharing, and claims procedures. The document does not provide condition-specific clinical background or treatment guidance beyond the plan’s general coverage standards and listed benefit categories.

    Policy Summary
    PayerArkansas Blue Cross and Blue Shield
    PolicyBLUE~BY~DESIGN HSA Comprehensive Major Medical PPO Group Benefit Certificate
    Policy CodePolicy 17-239
    Change TypeNo material change
    Effective DateJan 1, 2026
    Next Review DateNot specified
    Key ActionReview the Schedule of Benefits for applicable deductibles, coinsurance, and benefit limits.
    SourceLink
    On This Page
    Policy Background