BlueCare Silver 24K02-21C ($0 Deductible / $0 Virtual Visits / 3 PCP Visits for $0 then $1 / $0 Labs / Rewards $$$) – POS

94% cost sharing reduction [Popular Plan]
Network type: POS
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $2 copay
Urgent care visit: $5 copay

SKU: 30252FL014002106 Category:

Description

This plan has 94% cost sharing reduction [Popular Plan]

Health Care Plan Details

Network type POS
Deductible Success

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Out-of-pocket max $2,350 per person $4,700 per family
Metal tier Silver

Visit Copay

Primary care visit No charge
Specialist visit $2 copay
Preventive care visit No charge

Urgent, Emergency Care, and Hospital Care

Urgent care $5 copay
Emergency room $220 copay
Ambulance 25% coinsurance
Hospital stay (facility) 25% coinsurance
Hospital stay (physician) No charge
Outpatient procedure (facility) 25% coinsurance
Outpatient procedure (physician) No charge
Physical rehabilitation $5 copay

Maternitowny and Pregnancy

Well baby care No charge
Labor, delivery, hospital stay 25% coinsurance

Pharmacy, Drugs, and Medication

Generic No charge
Brand $20 copay
Non-preferred Brand 20% coinsurance
Specialty 50% coinsurance

Lab Tests and Diagnostic Procedures

X-rays $15 copay
Imaging (CT/PET/MRI) $2 copay
Blood work No charge

Mental and Psychiatric Health Care

Mental Health outpatient services $1 copay
Psychiatric hospital stay 25% coinsurance

Health Plan Provider Information

Health Plan Benefits https://www.bcbsfl.com/DocumentLibrary/sbc/2024/24K02-21C.pdf
Drug and medication plan formulary https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2024/Formularies/HIM/2024_FL_7T_CareChoices.pdf
Search doctor list https://providersearch.floridablue.com/visitor/ffm/#/?ffmPlanCode=FFMBC