Blue Cross Blue Shield Plus 2000, a Multi-State Plan - PPO

$2,000

Annual Deductible

AFFORDABILITY PLAN RANKS OUT OF 20 PLANS more info

Deductible
7th lowest deductible
Maximum out of pocket
Highest max out of pocket

Plan Coverage

Doctor Visits

Primary Care$15 copay
Specialist Visit$45 copay
Preventative Care0

Emergency / Surgery

Emergency Room30% Coinsurance after deductible
Ambulance30% Coinsurance after deductible
Hospital Stay (Facility)30% Coinsurance after deductible
Hospital Stay (Physician)30% Coinsurance after deductible
Outpatient Procedure (Facility)30% Coinsurance after deductible
Outpatient Procedure (Physician)30% Coinsurance after deductible

Pregnancy

Well Baby Care0
Labor / Delivery / Hospital Stay30% Coinsurance after deductible

Prescriptions

Generic$25 copay
Brand$55 copay
Specialty30% Coinsurance after deductible

Diagnositics / Labs / Imaging

X-Rays30% coinsurance
Blood Work30% coinsurance
CET, PET Scans, MRIs30% Coinsurance after deductible

Mental Health

Outpatient Services30% coinsurance
Psychiatric Hospital Stay30% Coinsurance after deductible