Highmark Shared Cost Blue EPO 1350 DE

Plan Information
Company Highmark Blue Cross Blue Shield Delaware
State DE
Metal Tier Gold
Plan Type EPO

Cost Sharing Benefits

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) $1,350 Data Not Available
Deductible (Family) $2,700 Data Not Available
Coinsurance $0 Data Not Available
Out of Pocket Maximum (Individual) $2,500 Data Not Available
Out of Pocket Maximum (Family) $5,000 Data Not Available
Services In Network Out of Network
Primary Care Visit No Charge after deductible Data Not Available
Specialist Visit No Charge after deductible Data Not Available
In Patient Hospital Services No Charge after deductible Data Not Available
Emergency Room Services No Charge after deductible $0
Mental / Behavioral Health $0 Data Not Available
Imaging (CT/PET Scans, MRIs) $0 Data Not Available
Rehabilitative Speech Therapy $0 Data Not Available
Rehabilitative Occupational & Physical Therapy $0 Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services $0 Data Not Available
X-ray and Diagnostic Imaging $0 Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $8
Preferred Brand Rx $35
Non Preferred Brand Rx $50
Specialty Drugs $50

Other Plans

Other plans that are available in the state.

Plan Name
Blue Cross Blue Shield Health Savings 1800, a Multi-State Plan
Blue Cross Blue Shield Shared Cost 3000, a Multi-State Plan
Health Savings Blue EPO 1800
Health Savings Blue EPO 3000
Major Events Blue EPO 6350
Shared Cost Blue EPO 0
Shared Cost Blue EPO 1000
Shared Cost Blue EPO 1350
Shared Cost Blue EPO 300
Shared Cost Blue EPO 5250
Shared Cost Blue EPO 750
Shared Cost Blue PPO 1500
Shared Cost EPO 3000
comments powered by Disqus
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.