Benefits & Coverage

Insurance Type
Individual Health Insurance
Insurance Provider
Blue Cross Blue Shield of Michigan
Plan Type
PPO
Deductible
$7500
Out-of-Pocket Maximum
$11000
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
    • Deductible amount is NOT included as part of the out-of-pocket limit

    Physician Directory

    List of doctors that accepts Keep Fit 7500 Plan in Michigan

    /
    SAAD, GEORGE
    20526 PLYMOUTH RD
    DETROIT, MI 48228
    JBOOR, NIDAL
    25614 FORD RD
    DEARBORN HEIGHTS, MI 48127
    PRECHEL, WILLIAM
    16551 W WARREN AVE
    DETROIT, MI 48228
    MURPHY, ARDREA
    6550 W WARREN AVE
    DETROIT, MI 48210
    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
    MASRI, FATINA
    13530 MICHIGAN AVE
    DEARBORN, MI 48126
    SY, GUAT
    17000 HUBBARD DR
    DEARBORN, MI 48126
    EDMOND, ELIZABETH
    4700 SCHAEFER RD
    DEARBORN, MI 48126
    SHAPIRO, JACK
    5050 SCHAEFER RD
    DEARBORN, MI 48126
    FOSTER, CATHERINE
    4900 MERCURY DR
    DEARBORN, MI 48126
    KHATIB, BASEL
    5728 SCHAEFER RD STE 101
    DEARBORN, MI 48126
    ABDALLAH, BELAL
    15400 MICHIGAN AVE
    DEARBORN, MI 48126
    KATZMAN, GERALD
    5050 SCHAEFER RD
    DEARBORN, MI 48126
    RAFEEA, IBTESAM
    5266 SCHAEFER RD
    DEARBORN, MI 48126
    ALAZEM, IMAD
    4700 GREENFIELD RD
    DEARBORN, MI 48126
    SAWALHA, SAMEER
    8740 W WARREN
    DEARBORN, MI 48126
    TUCKER, MARK
    5050 SCHAEFER RD
    DEARBORN, MI 48126
    GIMENEZ, ALBINO
    5050 SCHAEFER RD
    DEARBORN, MI 48126
    MUSTAFA, TARIF
    12940 W WARREN
    DEARBORN, MI 48126
    ISMAIL, BILAL
    5525 SCHAEFER RD
    DEARBORN, MI 48126
    SIGNORI, ENRIQUE
    4900 MERCURY DR
    DEARBORN, MI 48126
    Details
    GEORGE SAAD, MD
    Phone Number
    (313) 272-9570
    Office Locations
    20526 PLYMOUTH RD
    DETROIT, MI 48228
    20526 PLYMOUTH RD DETROIT MI, 48228

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