Keep Fit 7500

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Keep Fit 7500
Plan ID
15560MI0310004
Plan Year
2013
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of Michigan
Plan Type
PPO
Deductible
$7,500
Out-of-Pocket Maximum
$11,000
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $87.71
How many applications are denied?
0% of the applicants were denied
How accurate is this estimate?
0% of the applicants ended up paying a higher amount than the quoted price
Deductible
Individual: $7500
Family: $15000
In-Network Out-of-Pocket Limit
Individual: $11000
Family: $22000
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
PPO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$40 Copay before deductible
Not Covered
Specialist
$40 Copay
Not Covered
Diagnostic Test (X-ray, blood work)
30% Coinsurance after deductible
50% Coinsurance after deductible
Outpatient Facility Fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Hospital facility fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Hospital physician/surgeon fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Emergency Room
30% Coinsurance after deductible
30% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $10 Copay
Preferred Brand Drugs
Coverage: 50% Coinsurance after deductible
Specialty Drugs
Coverage: 50% Coinsurance after deductible

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
Not Covered
Not Covered
Mental/behavioral health inpatient services
30% Coinsurance after deductible
50% Coinsurance after deductible
Substance use disorder inpatient services
30% Coinsurance after deductible
Not Covered
Substance use disorder outpatient services
30% Coinsurance after deductible
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
Not Covered
Not Covered
Delivery and all inpatient services for maternity care
Not Covered
Not Covered

Coverage Options Summary

Included Benefits
  • Dental care adult
  • Emergency Transportation
  • Habilitation
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Chiropractic
  • Cosmetic surgery
  • Dental check up children
  • Durable medical equipment
  • Eye exam adult
  • Eye glasses children
  • Hearing Aid
  • Infertility treatment
  • Long Term Care
  • Non-emergency care outside U.S.
  • Other practitioner office visit
  • Private duty nursing
  • Routine eye exam children
  • Routine foot care
  • Routine hearing tests
  • Weight loss program

What To Know

  • 0%of the applicants were denied
  • 0%of the applicants ended up paying a higher amount than the quoted price

Physician Directory

List of doctors that accepts Keep Fit 7500 Plan in Michigan

/
EUBANKS, PRINCE
20526 PLYMOUTH RD
DETROIT, MI 48228
AMOUZEGAR, SYED
16810 W WARREN AVE
DETROIT, MI 48228
SYED AMOUZEGAR, MD,PLLC
16810 W WARREN AVE
DETROIT, MI 48228
PRECHEL FAMILY CLINIC, PC
16551 W WARREN AVE
DETROIT, MI 48228
SHAH, SAUMEEN
18311 W WARREN AVE
DETROIT, MI 48228
FOSTER, CATHERINE
4900 MERCURY DR
DEARBORN, MI 48126
KHATIB, BASEL
5728 SCHAEFER RD STE 101
DEARBORN, MI 48126
KATZMAN, GERALD
5050 SCHAEFER RD
DEARBORN, MI 48126
ALAZEM, IMAD
4700 GREENFIELD RD
DEARBORN, MI 48126
MUSTAFA, TARIF
12940 W WARREN
DEARBORN, MI 48126
SIGNORI, ENRIQUE
4900 MERCURY DR
DEARBORN, MI 48126
GRAHOVAC, JURE
5050 SCHAEFER RD
DEARBORN, MI 48126
NEUROSLEEP CENTER PLLC
5245 SCHAEFER RD
DEARBORN, MI 48126
ELMENINI, MOHAMMAD
10645 W WARREN AVE
DEARBORN, MI 48126
HICHAM A. EL-HORR MD, PC
5728 SCHAEFER RD
DEARBORN, MI 48126
SELITSKY, BENSON
5050 SCHAEFER RD
DEARBORN, MI 48126
MICHIGAN MEDICAL SERVICES PLLC
13530 MICHIGAN AVE
DEARBORN, MI 48126
HNATIUK, GEORGE
15120 MICHIGAN AVE
DEARBORN, MI 48126
CIESLAK, RICHARD
19401 HUBBARD DRIVE
DEARBORN, MI 48126
SEGERSON, JAMES
1 AMERICAN RD
DEARBORN, MI 48126
FAYZ, FRANK
5470 WESSEX CT
DEARBORN, MI 48126
OBEID, MOHAMMED
14716 W WARREN AVE
DEARBORN, MI 48126
REEDER, SUSAN
15101 FORD RD
DEARBORN, MI 48126
ANGELES, BERNADETTE
5111 AUTO CLUB DR
DEARBORN, MI 48126
SHANMUGAVELU, SURESH
13530 MICHIGAN AVE
DEARBORN, MI 48126
Details
PRINCE EUBANKS, MD
Phone Number
(313) 273-2330
Office Locations
20526 PLYMOUTH RD
DETROIT, MI 48228
20526 PLYMOUTH RD DETROIT MI, 48228

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