Blue - Blue Cross® Metro Detroit HMO Bronze Saver HSA

Michigan, 2019

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,700

  • Deductible

    $6,700

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) $6,700
Deductible (Family) $13,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,700
Out of Pocket Maximum (Family) $13,400

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 Available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Michigan

Plan Blue Cross® Preferred HMO Bronze Saver HSA Deductible $6,700 Coinsurance Not applicable Out of Pocket $6,700
Plan Blue Cross® Metro Detroit HMO Silver Saver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,300
Plan Blue Cross® Select HMO Silver Saver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,300
Plan Blue Cross® Select HMO Silver Extra Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Gold Deductible $600 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Silver Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Metro Detroit HMO Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Select HMO Silver Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Silver Saver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,300
Plan Blue Cross® Metro Detroit HMO Silver Extra Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Metro Detroit HMO Silver Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Silver Extra Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Select HMO Bronze Saver HSA Deductible $6,700 Coinsurance Not applicable Out of Pocket $6,700
Plan Blue Cross® Select HMO Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Select HMO Bronze Deductible $7,900 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) $6,700
Deductible (Family) $13,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,700
Out of Pocket Maximum (Family) $13,400

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 Available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Michigan

Plan Blue Cross® Preferred HMO Bronze Saver HSA Deductible $6,700 Coinsurance Not applicable Out of Pocket $6,700
Plan Blue Cross® Metro Detroit HMO Silver Saver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,300
Plan Blue Cross® Select HMO Silver Saver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,300
Plan Blue Cross® Select HMO Silver Extra Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Gold Deductible $600 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Silver Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Metro Detroit HMO Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Select HMO Silver Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Silver Saver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,300
Plan Blue Cross® Metro Detroit HMO Silver Extra Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Metro Detroit HMO Silver Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Preferred HMO Silver Extra Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Select HMO Bronze Saver HSA Deductible $6,700 Coinsurance Not applicable Out of Pocket $6,700
Plan Blue Cross® Select HMO Value Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Blue Cross® Select HMO Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900