SmartChoice PPO

Preferred Provider Organization (PPO) plans are the number one choice for millions of Americans. There is freedom of choice among in-network providers, lower out-of-pocket costs (copay only for most in-network office visits) and a strong emphasis on preventive health.

The State Health Plan is pleased to offer you the choice of three PPO plans.

NC SmartChoice BasicSM Blue OptionsSM PPO Plan

You have higher copays, coinsurance and deductibles in exchange for reduced premiums when you choose coverage for more than just yourself. (Review the plan overview (PDF, 2.0 MB), or for more information, review the benefit booklet (PDF, 2.0 MB))
  • A good option for healthy families.

NC SmartChoice StandardSM Blue OptionsSM PPO Plan

The coverage level is between the coverage levels of the Basic and Plus plans. No cost for employee-only coverage. (Review the plan overview (PDF, 2.0 MB), or for more information, review the benefit booklet (PDF, 2.0 MB))
  • A good option for employee-only coverage or for families who experience some health care needs.

NC SmartChoice Plus SM Blue OptionsSM PPO Plan

You have lower copays, coinsurance and deductibles but pay more in premium. (Review the plan overview (PDF, 2.0 MB), or for more information, review the benefit booklet (PDF, 2.0 MB))
  • A good option for members with ongoing health conditions or conditions that may require surgery or hospitalization.
Read additional information (PDF, 25 KB) regarding each of these plans.

By choosing one of the Blue OptionsSM PPO plans, you have access to My Member Services, a protected online resource for help in managing your health and maximizing your benefits. On My Member Services, you can:
  • View your claims status
  • Check your benefits summary
  • Update your policy information
  • Order new ID cards
  • Change your billing address
SmartChoice Tools