BlueExtend Gold 1 – EPO

Network type: EPO
Coverage tier: Gold

SKU: 26065SC0640001 Category:

Description

Health Care Plan Details

Network type EPO
Deductible See brochure See brochure
Out-of-pocket max N/A per person N/A per family
Metal tier Gold

Visit Copay

Urgent, Emergency Care, and Hospital Care

Maternitowny and Pregnancy

Pharmacy, Drugs, and Medication

Lab Tests and Diagnostic Procedures

Mental and Psychiatric Health Care

Health Plan Provider Information

Health Plan Benefits https://www.southcarolinablues.com/links/2024/metallic/blueextend-individual/Gold1
Drug and medication plan formulary https://www.southcarolinablues.com/links/2024/pharmacy/Individual
Search doctor list https://www.southcarolinablues.com/links/2024/provider/blueextend