Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Solution
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Premier
|
Deductible
$1,000 |
Coinsurance Not applicable |
Out of Pocket
$5,800 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Plus Gold
|
Deductible
$2,750 |
Coinsurance Not applicable |
Out of Pocket
$3,500 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Gold HMO
|
Deductible
$500 |
Coinsurance Not applicable |
Out of Pocket
$5,250 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,850 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$6,600 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Plus Bronze
|
Deductible
$5,000 |
Coinsurance Not applicable |
Out of Pocket
$6,550 |
Plan
Blue Advantage Plus Silver
|
Deductible
$3,250 |
Coinsurance Not applicable |
Out of Pocket
$6,850 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,000 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,750 |
Coinsurance Not applicable |
Out of Pocket
$3,750 |
Plan
Blue Advantage Security HMO
|
Deductible
$7,150 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Bronze HMO
|
Deductible
$6,500 |
Coinsurance Not applicable |
Out of Pocket
$6,500 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Advantage Silver HMO
|
Deductible
$3,500 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |
Plan
Blue Cross Blue Shield Basic
|
Deductible
$6,250 |
Coinsurance Not applicable |
Out of Pocket
$7,150 |