Blue - Blue Preferred Bronze PPO

Montana, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,500

  • Deductible

    $6,500

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) $6,500
Deductible (Family) $13,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,500
Out of Pocket Maximum (Family) $13,000

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Montana

Plan Blue Preferred Bronze PPO Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Focus Silver POS Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Focus Bronze POS Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Focus Silver POS Deductible $3,850 Coinsurance Not applicable Out of Pocket $6,850
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Focus Bronze POS Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Focus Silver POS Deductible $3,850 Coinsurance Not applicable Out of Pocket $6,850
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Focus Silver POS Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Focus Gold POS Deductible $500 Coinsurance Not applicable Out of Pocket $5,250
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Bronze PPO Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Focus Gold POS Deductible $500 Coinsurance Not applicable Out of Pocket $5,250
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
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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) $6,500
Deductible (Family) $13,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,500
Out of Pocket Maximum (Family) $13,000

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Montana

Plan Blue Preferred Bronze PPO Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Focus Silver POS Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Focus Bronze POS Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Focus Silver POS Deductible $3,850 Coinsurance Not applicable Out of Pocket $6,850
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,500
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Focus Bronze POS Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Focus Silver POS Deductible $3,850 Coinsurance Not applicable Out of Pocket $6,850
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Cross Blue Shield Premier Deductible $1,650 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Security PPO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Focus Silver POS Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Cross Blue Shield Solution Deductible $3,350 Coinsurance Not applicable Out of Pocket $5,600
Plan Blue Focus Gold POS Deductible $500 Coinsurance Not applicable Out of Pocket $5,250
Plan Blue Cross Blue Shield Basic Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Bronze PPO Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Blue Preferred Silver PPO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350
Plan Blue Preferred Bronze PPO Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Blue Focus Gold POS Deductible $500 Coinsurance Not applicable Out of Pocket $5,250
Plan Blue Preferred Bronze PPO Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Blue Preferred Gold PPO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,350