BlueSelect Platinum 1457
| Plan Type: | EPO |
| 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/2020/1457.pdf |
| Plan Brochure: | https://www.flblue.com/plan-brochure/bs?id=1457 |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $10 |
| Non-Preferred Brand Drugs: | $0.30 |
| 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_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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