Plan
Blue Advantage Silver 4000 (broad network)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7900 (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Gold 2500 (limited network with UNC Health Alliance)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 6750 (limited network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Bronze 6750 (limited network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Local Catastrophic (local network with Atrium Health)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Select Gold 2500 (tiered network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Catastrophic (broad network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Catastrophic (limited network with UNC Health Alliance)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Local Bronze 6750 (local network with Atrium Health, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Silver 4000 (limited network)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 4000 (limited network)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Catastrophic (broad network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Local Silver 4000 (local network with Atrium Health)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Gold 2500 (limited network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Select Gold 2500 (tiered network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Local Gold 2500 (local network with Atrium Health)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7000 (limited network with UNC Health Alliance)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Silver 4000 (broad network)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Local Silver 7000 (local network with Atrium Health)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Catastrophic (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Gold 2500 (broad network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Select Silver 7000 (tiered network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Local Bronze 7900 (local network with Atrium Health)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Gold 2500 (limited network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Select Silver 7000 (tiered network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Bronze 7000 (broad network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Gold 2500 (limited network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Gold 2500 (limited network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Silver 7000 (broad network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Bronze 6750 (broad network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Bronze 7900 (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Bronze 7900 (broad network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 6750 (limited network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Bronze 7900 (limited network with UNC Health Alliance)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Catastrophic (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 6750 (limited network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Catastrophic (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 6750 (limited network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Advantage Bronze 6750 (broad network, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Silver 4000 (limited network)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Catastrophic (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 4000 (limited network with UNC Health Alliance)
|
Deductible
$4,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7900 (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Local Bronze 7000 (local network with Atrium Health)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Gold 2500 (limited network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Select Gold 2500 (tiered network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Bronze 7900 (broad network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 6750 (limited network with UNC Health Alliance, HSA eligible)
|
Deductible
$6,750 |
Coinsurance Not applicable |
Out of Pocket
$6,750 |
Plan
Blue Value Catastrophic (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7900 (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Bronze 7000 (broad network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Bronze 7900 (limited network)
|
Deductible
$7,900 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Value Silver 7000 (limited network)
|
Deductible
$7,000 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Select Gold 2500 (tiered network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |
Plan
Blue Advantage Gold 2500 (broad network)
|
Deductible
$2,500 |
Coinsurance Not applicable |
Out of Pocket
$7,900 |