BlueSelect Bronze 1449

Plan Type: EPO
Plan Tier: Expanded Bronze
Medical Deductible - Individual: $7700
Medical Deductible - Family: Included in Medical
Drug Deductible - Individual: $7700
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $8150
Out of Pocket Max - Family: $8150
Primary Care Visit: $45
Specialist Visit: $65
Emergency Room: 50% Coinsurance after deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: 50% Coinsurance after deductible
Link to Full SBC: http://www.bcbsfl.com/DocumentLibrary/SBC/2020/1449.pdf
Plan Brochure: https://www.flblue.com/plan-brochure/bs?id=1449

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $25
Non-Preferred Brand Drugs: 50% Coinsurance after deductible
Preferred Brand Drugs: 50% Coinsurance 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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