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 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 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 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 |