Blue - Blue Cross Select Silver, a Multi-State Plan

Alabama, 2017

  • Plan Type

    PPO

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $6,850

  • Deductible

    $2,800

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

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.

Deductible (Individual) $2,800
Deductible (Family) $5,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,850
Out of Pocket Maximum (Family) $13,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $350 Copay per day
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services No charge
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $2,000
Deductible (Family) $4,000
Out of Pocket Maximum (Individual) $5,450
Out of Pocket Maximum (Family) $10,900

Doctor Visits

Primary Care Physician
Specialists
Emergency Room
Inpatient Facility $300 Copay per day
Inpatient Physician 0% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs

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

Deductible (Individual) $450
Deductible (Family) $900
Out of Pocket Maximum (Individual) $1,250
Out of Pocket Maximum (Family) $2,500

Doctor Visits

Primary Care Physician
Specialists
Emergency Room
Inpatient Facility $275 Copay per day
Inpatient Physician 0% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs

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

Deductible (Individual) $100
Deductible (Family) $200
Out of Pocket Maximum (Individual) $600
Out of Pocket Maximum (Family) $1,200

Doctor Visits

Primary Care Physician
Specialists
Emergency Room
Inpatient Facility $70 Copay per day
Inpatient Physician 0% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs

Other Plans in Alabama

Plan Blue Cross Select Gold, a Multi-State Plan Deductible $850 Coinsurance Not applicable Out of Pocket $6,000
Plan Blue HSA Bronze Deductible $6,450 Coinsurance Not applicable Out of Pocket $6,450
Plan Blue Saver Bronze Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Protect Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Value Silver Deductible $2,600 Coinsurance Not applicable Out of Pocket $6,850
Plan Blue Value Gold Deductible $750 Coinsurance Not applicable Out of Pocket $6,000
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Cost Sharing Benefits (In Network)

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.

Deductible (Individual) $2,800
Deductible (Family) $5,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,850
Out of Pocket Maximum (Family) $13,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $350 Copay per day
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services No charge
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $2,000
Deductible (Family) $4,000
Out of Pocket Maximum (Individual) $5,450
Out of Pocket Maximum (Family) $10,900

Doctor Visits

Primary Care Physician
Specialists
Emergency Room
Inpatient Facility $300 Copay per day
Inpatient Physician 0% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs

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

Deductible (Individual) $450
Deductible (Family) $900
Out of Pocket Maximum (Individual) $1,250
Out of Pocket Maximum (Family) $2,500

Doctor Visits

Primary Care Physician
Specialists
Emergency Room
Inpatient Facility $275 Copay per day
Inpatient Physician 0% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs

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

Deductible (Individual) $100
Deductible (Family) $200
Out of Pocket Maximum (Individual) $600
Out of Pocket Maximum (Family) $1,200

Doctor Visits

Primary Care Physician
Specialists
Emergency Room
Inpatient Facility $70 Copay per day
Inpatient Physician 0% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs

Other Plans in Alabama

Plan Blue Cross Select Gold, a Multi-State Plan Deductible $850 Coinsurance Not applicable Out of Pocket $6,000
Plan Blue HSA Bronze Deductible $6,450 Coinsurance Not applicable Out of Pocket $6,450
Plan Blue Saver Bronze Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Protect Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Value Silver Deductible $2,600 Coinsurance Not applicable Out of Pocket $6,850
Plan Blue Value Gold Deductible $750 Coinsurance Not applicable Out of Pocket $6,000