Blue - Blue HSA Bronze

Alabama, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,450

  • Deductible

    $6,450

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) $6,450
Deductible (Family) $12,900
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,450
Out of Pocket Maximum (Family) $12,900

Doctor Visits

Primary Care Visit 0% Coinsurance after deductible
Specialist Visit 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance after deductible

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 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

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 Cross Select Silver, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,850
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) $6,450
Deductible (Family) $12,900
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,450
Out of Pocket Maximum (Family) $12,900

Doctor Visits

Primary Care Visit 0% Coinsurance after deductible
Specialist Visit 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance after deductible

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 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

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 Cross Select Silver, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,850
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