Blue Cross Blue Shield Blue Advantage Bronze 2700 NC

Plan Information
Company Blue Cross and Blue Shield of North Carolina
State NC
Metal Tier Bronze
Plan Type PPO

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) $2,700 $5,400
Deductible (Family) $5,400 $10,800
Coinsurance 50% Data Not Available
Out of Pocket Maximum (Individual) $6,350 $12,700
Out of Pocket Maximum (Family) $12,700 $25,400
Services In Network Out of Network
Primary Care Visit 50% Coinsurance after deductible Data Not Available
Specialist Visit 50% Coinsurance after deductible Data Not Available
In Patient Hospital Services 50% Coinsurance after deductible Data Not Available
Emergency Room Services 50% Coinsurance after deductible 50% coinsurance
Mental / Behavioral Health 50% coinsurance Data Not Available
Imaging (CT/PET Scans, MRIs) 50% coinsurance Data Not Available
Rehabilitative Speech Therapy 50% coinsurance Data Not Available
Rehabilitative Occupational & Physical Therapy 50% coinsurance Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services 50% coinsurance Data Not Available
X-ray and Diagnostic Imaging 50% coinsurance Data Not Available
Outpatient Facility 50% coinsurance Data Not Available
Outpatient Surgery 50% coinsurance Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Blue Advantage 500 (broad network)
Blue Advantage 1000 (broad network)
Blue Advantage 2800 (broad network)
Blue Advantage 3500 (broad network)
Blue Advantage S 5000 (broad network)
Blue Advantage G 0 (broad network)
Blue Advantage 2700 (broad network, HSA eligible)
Blue Advantage 5500 (broad network, HSA eligible)
Blue Advantage S 0 (broad network)
Blue Advantage B 5000 (broad network)
Blue Advantage Catastrophic (broad network)
Blue Advantage 3000 (broad network)
Blue Value 500 (limited network)
Blue Value 1000 (limited network)
Blue Value 2800 (limited network)
Blue Value 3500 (limited network)
Blue Value S 5000 (limited network)
Blue Value G 0 (limited network)
Blue Value 2700 (limited network, HSA eligible)
Blue Value 5500 (limited network, HSA eligible)
Blue Value S 0 (limited network)
Blue Value B 5000 (limited network)
Blue Value Catastrophic (limited network)
Blue Value 3000 (limited network)
Blue Value 500 (limited network)
Blue Value 1000 (limited network)
Blue Value 2800 (limited network)
Blue Value 3500 (limited network)
Blue Value S 5000 (limited network)
Blue Value G 0 (limited network)
Blue Value 2700 (limited network, HSA eligible)
Blue Value 5500 (limited network, HSA eligible)
Blue Value S 0 (limited network)
Blue Value B 5000 (limited network)
Blue Value Catastrophic (limited network)
Blue Value 3000 (limited network)
Blue Select 1000 (tiered network)
Blue Select 3500 (tiered network)
Blue Select 1000 (tiered network)
Blue Select 3500 (tiered network)
Blue Select 5500 (tiered network)
Blue Select 5500 (tiered network)
Blue Local 500 (local network with Carolinas HealthCare System)
Blue Local 1000 (local network with Carolinas HealthCare System)
Blue Local 3500 (local network with Carolinas HealthCare System)
Blue Local 3000 (local network with Carolinas HealthCare System)
Blue Local 5500 (local network with Carolinas HealthCare System, HSA eligible)
Blue Local B 5000 (local network with Carolinas HealthCare System)
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