Blue - BlueEssentials Catastrophic 1

South Carolina, 2017

  • Plan Type

    EPO

  • Metal Tier

    Catastrophic

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $7,150

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) $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 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
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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) $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 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