BlueSelect Platinum 1451

Plan Type: EPO
Plan Tier: Platinum
Medical Deductible - Individual: $1000
Medical Deductible - Family: No
Drug Deductible - Individual: $1000
Drug Deductible - Family: No
Out of Pocket Max - Individual: $3500
Out of Pocket Max - Family: $3500
Primary Care Visit: $15
Specialist Visit: $40
Emergency Room: 10% Coinsurance after deductible
Hospital - Physician: No Charge
Hospital - Facility: 10% Coinsurance after deductible
Link to Full SBC: http://www.bcbsfl.com/DocumentLibrary/SBC/2020/1451.pdf
Plan Brochure: https://www.flblue.com/plan-brochure/bs?id=1451

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $15
Non-Preferred Brand Drugs: $0.30
Preferred Brand Drugs: $45
Specialty Drugs: $0.50
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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