Description
Health Care Plan Details
| Network type | POS |
| Deductible | See brochure See brochure |
| Out-of-pocket max | N/A per person N/A per family |
| Metal tier | Silver |
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.bcbsmt.com/sbc/ind/sbc-sosh48blcimto-mt-2024.pdf |
| Drug and medication plan formulary | https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2024/Formularies/HIM/2024_MT_6T_HIM.pdf |
| Search doctor list | https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT |



