Blue Cross Blue Shield Blue Cross Blue Shield 2000, a Multi-State Plan AR

Plan Information
Company Arkansas Blue Cross Blue Shield
State AR
Metal Tier Silver
Plan Type PPO

Cost Sharing Benefits

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $2,000 Data Not Available
Deductible (Family) $4,000 Data Not Available
Coinsurance Data Not Available Data Not Available
Out of Pocket Maximum (Individual) $6,300 Data Not Available
Out of Pocket Maximum (Family) $12,600 Data Not Available
Services In Network Out of Network
Primary Care Visit $30 Data Not Available
Specialist Visit $60 Data Not Available
In Patient Hospital Services $250 Copay per Day Data Not Available
Emergency Room Services $250 Data Not Available
Mental / Behavioral Health Data Not Available Data Not Available
Imaging (CT/PET Scans, MRIs) Data Not Available Data Not Available
Rehabilitative Speech Therapy Data Not Available Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services Data Not Available Data Not Available
X-ray and Diagnostic Imaging Data Not Available Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $15
Preferred Brand Rx $55
Non Preferred Brand Rx $90
Specialty Drugs $300

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $1,500.00
Deductible (Family) $3,000.00
Out of Pocket Maximum (Individual) $4,700.00
Out of Pocket Maximum (Family) $9,400.00
Services In Network Out of Network
Primary Care Physician $30
Specialists $60
Emergency Room $225
Inpatient Facility $200 Copay per Day
Inpatient Physician 10% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $15.00
Preferred Brand Rx $55
Non Preferred Brand Rx $90
Specialty Drugs $200

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $500.00
Deductible (Family) $1,000.00
Out of Pocket Maximum (Individual) $1,200.00
Out of Pocket Maximum (Family) $2,400.00
Services In Network Out of Network
Primary Care Physician $25
Specialists $50
Emergency Room $50
Inpatient Facility $150 Copay per Day
Inpatient Physician 10% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $10.00
Preferred Brand Rx $40
Non Preferred Brand Rx $70
Specialty Drugs $150

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $150.00
Deductible (Family) $300.00
Out of Pocket Maximum (Individual) $754.00
Out of Pocket Maximum (Family) $1,508.00
Services In Network Out of Network
Primary Care Physician $8
Specialists $10
Emergency Room $20
Inpatient Facility $140 Copay per Day
Inpatient Physician No Charge
Prescription Drugs In Network Out of Network
Generic Rx $4.00
Preferred Brand Rx $4
Non Preferred Brand Rx $8
Specialty Drugs $8

Other Plans

Other plans that are available in the state.

Plan Name
Blue Cross Blue Shield 2000, a Multi-State Plan
Blue Cross Blue Shield 500, a Multi-State Plan
Blue Cross Blue Shield 5000, a Multi-State Plan
Bronze 5500
Bronze 6200
Bronze 6300
Catastrophic
Gold 1000
Gold 500
Silver 2500
Silver 3500
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This tool is for research purposes only. The numbers shown are estimates based on the information you have provided and our best efforts to provide accurate data. We try to keep the information up to date however we cannot make warranties about the accuracy of our information. We advise that users confirm any research with the respective health insurance companies and health exchanges.