myBlue Platinum 2015

Plan Type: HMO
Plan Tier: Platinum
Medical Deductible - Individual: No
Medical Deductible - Family: Included in Medical
Drug Deductible - Individual: No
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $2000
Out of Pocket Max - Family: $2000
Primary Care Visit: $10
Specialist Visit: $20
Emergency Room: $75
Hospital - Physician: No Charge
Hospital - Facility: $350 Copay per Day
Link to Full SBC: http://www.bcbsfl.com/DocumentLibrary/SBC/2020/2015.pdf
Plan Brochure: https://www.flblue.com/plan-brochure/myblue?id=2015

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $10
Non-Preferred Brand Drugs: $0.50
Preferred Brand Drugs: $40
Specialty Drugs: $0.50
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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