myBlue Silver 1603
| Plan Type: | HMO |
| 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/2020/1603.pdf |
| Plan Brochure: | https://www.flblue.com/plan-brochure/bc?id=1603 |
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_6T_ValueScript.pdf |
This Carrier Offers:
About The Carrier
Health Options, Inc is located in Jacksonville, FL, United States and is part of the Health Insurance Carriers Industry. Health Options, Inc has 450 total employees across all of its locations and generates $100.54 million in sales (USD).
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