Blue - Blue Choice Preferred Bronze PPO? 202

Illinois, 2019

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,650

  • Deductible

    $3,150

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) $3,150
Deductible (Family) $9,450
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,650
Out of Pocket Maximum (Family) $13,300

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility $850 Copay per stay after deductible + 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services $1000 Copay after deductible + 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 30% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% 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 Available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $850 Copay per stay after deductible + 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility $600 Copay after deductible + 30% Coinsurance after deductible
Outpatient Surgery $200 Copay after deductible + 40% Coinsurance after deductible

Prescription Drugs

Generic Rx 20% Coinsurance after deductible
Preferred Brand Rx 30% Coinsurance after deductible
Non Preferred Brand Rx 35% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Other Plans in Illinois

Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue FocusCare Silver? 210 Deductible $4,150 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue FocusCare Gold? 211 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue FocusCare Bronze? 209 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
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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) $3,150
Deductible (Family) $9,450
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,650
Out of Pocket Maximum (Family) $13,300

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility $850 Copay per stay after deductible + 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services $1000 Copay after deductible + 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 30% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% 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 Available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $850 Copay per stay after deductible + 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility $600 Copay after deductible + 30% Coinsurance after deductible
Outpatient Surgery $200 Copay after deductible + 40% Coinsurance after deductible

Prescription Drugs

Generic Rx 20% Coinsurance after deductible
Preferred Brand Rx 30% Coinsurance after deductible
Non Preferred Brand Rx 35% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Other Plans in Illinois

Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue FocusCare Silver? 210 Deductible $4,150 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue FocusCare Gold? 211 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue FocusCare Bronze? 209 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Silver HMO? 206 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Security PPO? 200 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare Direct Silver? 212 with Advocate Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Bronze HMO? 205 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Bronze PPO? 202 Deductible $3,150 Coinsurance Not applicable Out of Pocket $6,650
Plan Blue Choice Preferred Bronze PPO? 201 - Two $40 PCP Visits Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Silver PPO? 203 Deductible $2,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Precision Gold HMO? 207 Deductible $500 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Choice Preferred Gold PPO? 204 Deductible $750 Coinsurance Not applicable Out of Pocket $7,900