Blue - BCBSHP Bronze Pathway Guided Access HMO 30 for HSA

Georgia, 2017

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,550

  • Deductible

    $5,400

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) $5,400
Deductible (Family) $10,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 30% Coinsurance after deductible
Specialist Visit 30% Coinsurance after deductible
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible + 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $400 Copay after deductible + 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% Coinsurance after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient $500 Copay after deductible + 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 30% Coinsurance after deductible
Rehabilitative Speech Therapy 30% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 30% Coinsurance after deductible
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx 30% Coinsurance after deductible
Preferred Brand Rx 30% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Georgia

Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Silver Core Pathway HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Silver Pathway HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold DirectAccess, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Bronze Pathway HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver DirectAccess, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Silver Pathway HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
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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) $5,400
Deductible (Family) $10,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 30% Coinsurance after deductible
Specialist Visit 30% Coinsurance after deductible
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible + 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $400 Copay after deductible + 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% Coinsurance after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient $500 Copay after deductible + 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 30% Coinsurance after deductible
Rehabilitative Speech Therapy 30% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 30% Coinsurance after deductible
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx 30% Coinsurance after deductible
Preferred Brand Rx 30% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Georgia

Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Silver Core Pathway HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Silver Pathway HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold DirectAccess, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway Guided Access HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Catastrophic Pathway HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 2000 25 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Bronze Pathway Guided Access HMO 5200 Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway HMO 30 for HSA Deductible $5,400 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Bronze Pathway HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan BCBSHP Silver Core Pathway Guided Access HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,700
Plan BCBSHP Silver Pathway Guided Access HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver Guided Access, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Gold Guided Access, a Multi-State Plan Deductible $1,150 Coinsurance Not applicable Out of Pocket $4,900
Plan BCBSHP Silver Pathway Guided Access HMO 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 5850 Deductible $5,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross and Blue Shield Healthcare Plan of Georgia Silver DirectAccess, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,500
Plan BCBSHP Bronze Pathway Guided Access HMO 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,150
Plan BCBSHP Bronze Pathway Guided Access HMO 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan BCBSHP Silver Pathway Guided Access HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $4,850
Plan BCBSHP Silver Pathway HMO 10 for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $5,000