BlueSelect Gold 1835

Plan Type: EPO
Plan Tier: Gold
Medical Deductible - Individual: $1500
Medical Deductible - Family: No
Drug Deductible - Individual: $1500
Drug Deductible - Family: No
Out of Pocket Max - Individual: $5500
Out of Pocket Max - Family: $5500
Primary Care Visit: $40
Specialist Visit: $75
Emergency Room: $450
Hospital - Physician: No Charge
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC: http://www.bcbsfl.com/DocumentLibrary/SBC/2020/1835.pdf
Plan Brochure: https://www.flblue.com/plan-brochure/bs?id=1835

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $20
Non-Preferred Brand Drugs: $0.50
Preferred Brand Drugs: $65
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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