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Individuals (one-person plans) and families (two or more people) qualify for Individual Care Blue Plus; however, all people covered by Individual Care Blue Plus must be under 65 years old. (Please see Medicare plans if you’re over 65 or are eligible for Medicare.)
| Plan type | PPO |
|---|---|
| Eligibility | Individuals and families under 65 years old |
| Coinsurance | You pay 30% in-network, 50% out-of-network costs |
| Flat copayments | $50 urgent care visits, $150 ER visits |
| Included coverage |
|
| Unique benefits |
|
| Deductible | Out-of-pocket maximum | Monthly rate |
| For individuals: | $1,000 | $3,500 | Starts at $220.18 |
|---|---|---|---|
| For families: | $2,000 | $7,000 |
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| Options |
| Individual Care Blue Plus |
|---|
| Monthly rate starts at $262.06**For a 19-year-old nonsmoker |
| Plan Structure: | |
|---|---|
| Network | PPO |
| Prescription Coverage | Yes 50% with a $10 minimum copay and $100 maximum copay |
| Maternity Coverage | Yes, delivery and newborn care only. Pre and post natal exams are not covered. |
| Dental Coverage | Optional (Flexible Blue Dental Plus) |
| Included Services | Preventive medical, dental and vision |
| Unique Benefits | Two office visits covered before deductible |
| Possible Costs: | |
| Deductible | $1,000 ind. $2,000 fam. |
| Out-of-pocket maximum | $3,500 ind. $7,000 fam. |
| Fixed co-pays include | $50 urgent care $150 ER visits (waived if admitted) |
| Coinsurance | You pay 30% in-network You pay 50% out-of-network |
| Other Highlights | |
| Waiting period for preexisting conditions | 180 days |
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