BlueOptions Silver 1423
Plan Type: | EPO |
Plan Tier: | Silver |
Medical Deductible - Individual: | $5950 |
Medical Deductible - Family: | $3000 |
Drug Deductible - Individual: | $5950 |
Drug Deductible - Family: | See Plan Brochure |
Out of Pocket Max - Individual: | $7150 |
Out of Pocket Max - Family: | $7150 |
Primary Care Visit: | $50 |
Specialist Visit: | $100 |
Emergency Room: | $350 Copay after deductible |
Hospital - Physician: | $100.00 |
Hospital - Facility: | $600 Copay per Stay after deductible |
Link to Full SBC: | http://www.bcbsfl.com/DocumentLibrary/SBC/2020/1423.pdf |
Plan Brochure: | https://www.flblue.com/plan-brochure/bo?id=1423 |
Other Coverage:
Child Dental: | No |
Adult Dental | No |
Prescription Drug Pricing:
Generic Drugs: | $15 |
Non-Preferred Brand Drugs: | 50% Coinsurance after deductible |
Preferred Brand Drugs: | $67 Copay after deductible |
Specialty Drugs: | 50% Coinsurance after deductible |
Link to Full Policy Formulary: | https://www.myprime.com/content/dam/prime/memberportal/forms/AuthorForms/HIM/2020/2020_FL_7T_CareChoices.pdf |
This Carrier Offers:
About The Carrier
Blue Cross and Blue Shield of Florida, has been providing health insurance to residents of Florida for nearly 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than 5 million health care members across the state.
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