Blue - BlueDirect 90 Gold

North Dakota, 2019

  • Plan Type

    PPO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $3,950

  • Deductible

    $2,000

Enroll Now
{"state":{"code":"ND","name":"North Dakota","fips":38,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Federal"]},"year":"2019","plan":{"name":"Blue - BlueDirect 90 Gold","planType":"PPO","tier":"Gold","oopm":"3950.00","deductible":"2000.00","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) $2,000
Deductible (Family) $4,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $3,950
Out of Pocket Maximum (Family) $7,900

Doctor Visits

Primary Care Visit 10% Coinsurance after deductible
Specialist Visit 10% Coinsurance after deductible
Inpatient Facility 10% Coinsurance after deductible
Inpatient Physician 10% Coinsurance after deductible
Emergency Room Services 10% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 10% Coinsurance after deductible
Laboratory Outpatient and Professional Services 10% Coinsurance after deductible
X-Ray and Diagnostic Imaging 10% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 10% Coinsurance after deductible
Mental / Behavioral Health Outpatient 10% Coinsurance after deductible
Rehabilitative Speech Therapy 10% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 10% Coinsurance after deductible
Outpatient Facility 10% Coinsurance after deductible
Outpatient Surgery 10% Coinsurance after deductible

Prescription Drugs

Generic Rx 10% Coinsurance after deductible
Preferred Brand Rx 10% Coinsurance after deductible
Non Preferred Brand Rx 10% Coinsurance after deductible
Specialty Drugs 10% Coinsurance after deductible

Other Plans in North Dakota

Plan BlueCare 70 Gold Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueDirect 100 Bronze Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan BlueDirect 80 Silver Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,750
Plan BlueEssential 100 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare 70 Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan SimplyBlue 60 Deductible $6,800 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) $2,000
Deductible (Family) $4,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $3,950
Out of Pocket Maximum (Family) $7,900

Doctor Visits

Primary Care Visit 10% Coinsurance after deductible
Specialist Visit 10% Coinsurance after deductible
Inpatient Facility 10% Coinsurance after deductible
Inpatient Physician 10% Coinsurance after deductible
Emergency Room Services 10% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 10% Coinsurance after deductible
Laboratory Outpatient and Professional Services 10% Coinsurance after deductible
X-Ray and Diagnostic Imaging 10% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 10% Coinsurance after deductible
Mental / Behavioral Health Outpatient 10% Coinsurance after deductible
Rehabilitative Speech Therapy 10% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 10% Coinsurance after deductible
Outpatient Facility 10% Coinsurance after deductible
Outpatient Surgery 10% Coinsurance after deductible

Prescription Drugs

Generic Rx 10% Coinsurance after deductible
Preferred Brand Rx 10% Coinsurance after deductible
Non Preferred Brand Rx 10% Coinsurance after deductible
Specialty Drugs 10% Coinsurance after deductible

Other Plans in North Dakota

Plan BlueCare 70 Gold Deductible $750 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueDirect 100 Bronze Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan BlueDirect 80 Silver Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,750
Plan BlueEssential 100 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan BlueCare 70 Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan SimplyBlue 60 Deductible $6,800 Coinsurance Not applicable Out of Pocket $7,900