Blue Cross Blue Shield BluePrint 1900/0/0 aajd MN

Plan Information
Company Blue Cross Blue Shield of Minnesota
State MN
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) $1,900 Data Not Available
Deductible (Family) $5,700 Data Not Available
Coinsurance 20% Data Not Available
Out of Pocket Maximum (Individual) $5,650 Data Not Available
Out of Pocket Maximum (Family) $11,300 Data Not Available
Services In Network Out of Network
Primary Care Visit 20% coinsurance Data Not Available
Specialist Visit 20% coinsurance Data Not Available
In Patient Hospital Services 20% coinsurance Data Not Available
Emergency Room Services 20% coinsurance 20% coinsurance
Mental / Behavioral Health 20% coinsurance Data Not Available
Imaging (CT/PET Scans, MRIs) 20% coinsurance Data Not Available
Rehabilitative Speech Therapy 20% coinsurance Data Not Available
Rehabilitative Occupational & Physical Therapy 20% coinsurance Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services 20% coinsurance Data Not Available
X-ray and Diagnostic Imaging 20% coinsurance Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $15 copay
Preferred Brand Rx $60 copay
Non Preferred Brand Rx $90 copay
Specialty Drugs 0.2

Other Plans

Other plans that are available in the state.

Plan Name
BlueBasic HSA 5300/0/0 aeeb
BlueAccess HSA 3000/0/0 aaec
BluePrint 1000/0/0 aadk
BluePrint 1900/0/0 aajd
BlueConnect Sanford Health 1500/0/20 aads
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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.