Blue - Blue Precision Silver HMO? 206

Illinois, 2019

  • Plan Type

    HMO

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $2,500

Enroll Now
{"state":{"code":"IL","name":"Illinois","fips":17,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Partnership"]},"year":"2019","plan":{"name":"Blue - Blue Precision Silver HMO? 206","planType":"HMO","tier":"Silver","oopm":"7900.00","deductible":"2500.00","redirectUrl":"https:\/\/www.healthcare.gov"},"phoneNum":"8558665590"}

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

{"onCurrent":true}

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) $2,500
Deductible (Family) $7,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services $1000 Copay after deductible + 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

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 $500 Copay per stay after deductible + 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $2,350
Deductible (Family) $7,050
Out of Pocket Maximum (Individual) $6,300
Out of Pocket Maximum (Family) $12,600

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $1000 Copay after deductible + 50% Coinsurance after deductible
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $450
Deductible (Family) $1,350
Out of Pocket Maximum (Individual) $2,600
Out of Pocket Maximum (Family) $5,200

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $500 Copay after deductible + 50% Coinsurance after deductible
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $125
Deductible (Family) $250
Out of Pocket Maximum (Individual) $1,800
Out of Pocket Maximum (Family) $5,200

Doctor Visits

Primary Care Physician No charge
Specialists No charge
Emergency Room $500 Copay after deductible + 20% Coinsurance after deductible
Inpatient Facility $200 Copay per stay after deductible + 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% 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 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 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
{"onCurrent":true,"type":"tools"}

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) $2,500
Deductible (Family) $7,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services $1000 Copay after deductible + 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

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 $500 Copay per stay after deductible + 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $2,350
Deductible (Family) $7,050
Out of Pocket Maximum (Individual) $6,300
Out of Pocket Maximum (Family) $12,600

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $1000 Copay after deductible + 50% Coinsurance after deductible
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $450
Deductible (Family) $1,350
Out of Pocket Maximum (Individual) $2,600
Out of Pocket Maximum (Family) $5,200

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $500 Copay after deductible + 50% Coinsurance after deductible
Inpatient Facility $500 Copay per stay after deductible + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $125
Deductible (Family) $250
Out of Pocket Maximum (Individual) $1,800
Out of Pocket Maximum (Family) $5,200

Doctor Visits

Primary Care Physician No charge
Specialists No charge
Emergency Room $500 Copay after deductible + 20% Coinsurance after deductible
Inpatient Facility $200 Copay per stay after deductible + 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 30% Coinsurance after deductible
Specialty Drugs 40% 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 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 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