BlueSelect Silver 1443
| Plan Type: | EPO |
| Plan Tier: | Silver |
| Medical Deductible - Individual: | $7000 |
| Medical Deductible - Family: | Included in Medical |
| Drug Deductible - Individual: | $7000 |
| Drug Deductible - Family: | Included in Medical |
| Out of Pocket Max - Individual: | $8150 |
| Out of Pocket Max - Family: | $8150 |
| Primary Care Visit: | $130 |
| Specialist Visit: | $110 Copay after deductible |
| Emergency Room: | $650 Copay after deductible |
| Hospital - Physician: | No Charge |
| Hospital - Facility: | 50% Coinsurance after deductible |
| Link to Full SBC: | http://www.bcbsfl.com/DocumentLibrary/SBC/2020/1443.pdf |
| Plan Brochure: | https://www.flblue.com/plan-brochure/bs?id=1443 |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $35 Copay after deductible |
| Non-Preferred Brand Drugs: | 50% Coinsurance after deductible |
| Preferred Brand Drugs: | $55 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_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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