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Overview - Individuals

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  • Catastrophic Coverage
  • Blue Protect
  • Overview

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Blue Protect Intro text

Blue Protect

Enroll Now

Our catastrophic plan is only available through the health insurance marketplace on Healthcare.gov

Common Plan Benefits

- Calendar Year Deductible: $8,550 Individual / $17,100 Family

- Out-of-Pocket Maximum: $8,550 Individual / $17,100 Family

 

Plan Overview Accordion Headline

What You Would Pay For In-Network Services:

Blue Protect Benefits Disclaimer

Complete In-Network and Out-of-Network benefits are listed in the Benefit Booklet.

Blue Protect Accordion Plan Overview

PHYSICIAN BENEFITS
Primary Care Physician and Specialist

Primary Care

  • First Three Illness-Related Office Visits Per Member

    • You Pay:
      $50 copay
    • We Pay:
      100% after the copay
  • Thereafter

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible

 

Specialist

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Understand Copays vs Coinsurance

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
OUTPATIENT VISITS
  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
EMERGENCY ROOM
For A Medical Emergency
  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
INPATIENT HOSPITAL CARE
  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
MATERNITY CARE
Physician Benefits
  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
MENTAL HEALTH
Office Visit or Consultation
  • You Pay:
    Specialist: 0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
PRESCRIPTION DRUGS
41,000+ pharmacies in the ValueONE Network

For complete coverage details see the Prescription Drug List for this plan.

  • Tier 1

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 2

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 3

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 4

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 5

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 6

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY
Up to 30 visits per member per year
  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
DIAGNOSTIC LAB
Outpatient
  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
ROUTINE IMMUNIZATIONS AND PREVENTIVE SERVICES

Learn More About Preventive Services and Preventive Drugs coverage for this plan.

  • You Pay:
    $0
  • We Pay:
    100%

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details
PEDIATRIC DENTAL & VISION

Limited to members up to the end of the month in which the member turns 19.

  • Routine Dental Cleaning

    • You Pay:
      $0 after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Yearly Eye Exam

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Close details

Additional Services footer

Don't forget...

We also offer Dental, Vision and Travel insurance.

Last Updated: 10/31/2020 21:15

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