Plan Type
EPO
Metal Tier
Catastrophic
Out of Pocket Maximum
$7,150
Deductible
$7,150

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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

Health Insurance Tools

{"onCurrent":true,"type":"tools"}

Health Exchange Guides

{"onCurrent":true,"type":"guides"}

Cost Sharing Benefits (In Network)

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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Blue - BlueEssentials Catastrophic 1

Call (855) 866-5590 to speak with a licensed agent about a new health plan.

Cost Sharing Benefits (In Network)

Doctor Visits

Tests and Imaging

Health Management Programs

Other

Prescription Drugs

Other Plans in South Carolina

Health Insurance Tools

Health Exchange Guides

Cost Sharing Benefits (In Network)

Doctor Visits

Tests and Imaging

Health Management Programs

Other

Prescription Drugs

Other Plans in South Carolina