BlueSelect Silver 1456

Plan Type: EPO
Plan Tier: Silver
Medical Deductible - Individual: $5950
Medical Deductible - Family: $3000
Drug Deductible - Individual: $5950
Drug Deductible - Family: See Plan Brochure
Out of Pocket Max - Individual: $7150
Out of Pocket Max - Family: $7150
Primary Care Visit: $50
Specialist Visit: $100
Emergency Room: $350 Copay after deductible
Hospital - Physician: $100.00
Hospital - Facility: $600 Copay per Stay after deductible
Link to Full SBC:
Plan Brochure:

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $15
Non-Preferred Brand Drugs: 50% Coinsurance after deductible
Preferred Brand Drugs: $67 Copay after deductible
Specialty Drugs: 50% Coinsurance after deductible
Link to Full Policy Formulary:

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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