More Information
Health Insurance Tools
Health Exchange Guides
- What is a Health Insurance Exchange?
- Understanding the ACA Subsidies
- Cost Sharing Reductions
- Minimum Essential Coverage
- What Is An Insurance Rating Area?
- The Individual Mandate and Penalties
- Inpatient vs Outpatient Care and Coverage
- Copay vs Coinsurance
- Average Cost of Health Insurance
- How Age Affects Your Health Insurance Costs
Visualizations and Data
Other Insurance Research
Blue - BlueEssentials Catastrophic 1
South Carolina, 2017
Plan Type
EPO
Metal Tier
Catastrophic
Out of Pocket Maximum
$7,150
Deductible
$7,150
Emergency Room Care: 0% Coinsurance after deductible
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) | $7,150 |
|---|---|
| Deductible (Family) | $14,300 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $7,150 |
| Out of Pocket Maximum (Family) | $14,300 |
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 | Available |
| Diabetes | Available |
| Heart Disease | Available |
| High Blood Pressure / High Cholesterol | Available |
| Lower Back Pain | Available |
| Pain Management | Not available |
| Pregnancy | Available |
| Weight Loss | 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 South Carolina
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan BlueEssentials HD Bronze 2 | Deductible $6,300 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan BlueEssentials HD Silver 6 | Deductible $3,800 | Coinsurance Not applicable | Out of Pocket $3,800 |
| Plan BlueEssentials Silver 9 | Deductible $5,000 | Coinsurance Not applicable | Out of Pocket $6,850 |
| Plan BlueEssentials Silver 14 | Deductible $6,650 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials Silver 8 | Deductible $5,250 | Coinsurance Not applicable | Out of Pocket $6,700 |
| Plan BlueEssentials HD Silver 13 | Deductible $4,400 | Coinsurance Not applicable | Out of Pocket $4,400 |
| Plan BlueEssentials HD Silver 5 | Deductible $2,600 | Coinsurance Not applicable | Out of Pocket $5,000 |
| Plan Blue Cross Blue Shield Silver 1, a Multi-State Plan | Deductible $2,500 | Coinsurance Not applicable | Out of Pocket $6,600 |
| Plan BlueEssentials Gold 2 | Deductible $800 | Coinsurance Not applicable | Out of Pocket $5,000 |
| Plan BlueEssentials Gold 1 | Deductible $1,200 | Coinsurance Not applicable | Out of Pocket $4,500 |
| Plan BlueEssentials Silver 2 | Deductible $2,000 | Coinsurance Not applicable | Out of Pocket $6,600 |
| Plan BlueEssentials Silver 10 | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials Bronze 1 | Deductible $6,350 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials HD Bronze 3 | Deductible $5,200 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan BlueEssentials Silver 4 | Deductible $2,500 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials HD Bronze 5 | Deductible $6,550 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan BlueEssentials Silver 12 | Deductible $4,800 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials Silver 7 | Deductible $6,400 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials Gold 4 | Deductible $2,200 | Coinsurance Not applicable | Out of Pocket $5,000 |
| Plan BlueEssentials HD Gold 3 | Deductible $2,200 | Coinsurance Not applicable | Out of Pocket $2,200 |
| Plan BlueEssentials HD Bronze 4 | Deductible $5,600 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Blue Cross Blue Shield Gold 1, a Multi-State Plan | Deductible $1,000 | Coinsurance Not applicable | Out of Pocket $4,000 |
| Plan BlueEssentials Silver 3 | Deductible $3,500 | Coinsurance Not applicable | Out of Pocket $6,000 |
| Plan BlueEssentials Silver 11 | Deductible $5,500 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan BlueEssentials Silver 1 | Deductible $260 | Coinsurance Not applicable | Out of Pocket $7,150 |