Benefits & Coverage

Insurance Type
Individual Health Insurance
Insurance Provider
Arkansas Blue Cross Blue Shield
Plan Type
PPO
Deductible
$3500
Out-of-Pocket Maximum
$6000
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $678.28
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: $3500
Family: $7000
In-Network Out-of-Pocket Limit
Individual: $6000
Family: $12000
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance + Co-pay
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
$25 Copay
40% Coinsurance after deductible
Specialist
$50 Copay
40% Coinsurance after deductible
Diagnostic Test (X-ray, blood work)
20% Coinsurance after deductible
40% Coinsurance after deductible
Outpatient Facility Fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Hospital facility fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Hospital physician/surgeon fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $20 Copay
Preferred Brand Drugs
Coverage: $50 Copay
Specialty Drugs
Coverage: 20% Coinsurance after deductible

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
20% Coinsurance after deductible
40% Coinsurance after deductible
Mental/behavioral health inpatient services
20% Coinsurance after deductible
40% Coinsurance after deductible
Substance use disorder inpatient services
20% Coinsurance after deductible
40% Coinsurance after deductible
Substance use disorder outpatient services
20% Coinsurance after deductible
40% Coinsurance after deductible

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
20% Coinsurance after deductible
40% Coinsurance after deductible
Delivery and all inpatient services for maternity care
20% Coinsurance after deductible
40% Coinsurance after deductible

Coverage Options Summary

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

Physician Directory

List of doctors that accepts Silver 3500 Plan in Arkansas

/
CROWELL, BERNARD
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
KHAN, MAHMOOD
11401 INTERSTATE 30
LITTLE ROCK, AR 72209
DECKER, TRICIA
6917 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
ABDELAL, AHMED
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
KUPERMAN, IRVING
5300 MABELVALE PIKE
LITTLE ROCK, AR 72209
OVERTON, JENNIFER
6917 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
BINZ, KEVIN
6917 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
WOLVERTON, JOHN
6924 GEYER SPRINGS
LITTLE ROCK, AR 72209
CARUTHERS, CAROL
6924 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
SNYDER, STEPHEN
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
BADHWAR, ANIL
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
MORTENSEN, ALEISHA
6917 GEYER SPRINGS ROAD
LITTLE ROCK, AR 72209
HARRIS, WILLIAM
6800 BASELINE RD
LITTLE ROCK, AR 72209
REYNOLDS, DAVID
6800 BASELINE RD
LITTLE ROCK, AR 72209
HARRIS AND REYNOLDS FAMILY DENTAL
6800 BASELINE RD
LITTLE ROCK, AR 72209
WARREN, WILLIAM
900 S SHACKLEFORD ROAD
LITTLE ROCK, AR 72211
JENNINGS, LAURA
6917 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
WEATHERSBY, KEM
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
BUDHRAJA, MADHU
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
ADAMETZ, JOHN
10101 MABELVALE PLAZA DR STE 3
LITTLE ROCK, AR 72209
SCALLION, SARA
8023 INTERSTATE 30
LITTLE ROCK, AR 72209
CARNEY, JOHN
11321 I-30
LITTLE ROCK, AR 72209
JOHN, CHRISTOPHER
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
CALDERON, VINCENT
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
CASPER, ROBERT
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
Details
BERNARD CROWELL, MD
Phone Number
(501) 975-1916
Office Locations
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
11321 INTERSTATE 30 LITTLE ROCK AR, 72209

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
1 question| 1 answer
Yearly check up
Q:Is the yearly pap and mammogram covered under this plan?
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: You may check the Summary of Benefits section at the top of page for the details, HealthPocket is an source of information and not a health plan or an insurance agent, If you are unable to find such specific benefits, it is best to speak with a licensed agent. The phone number and hours of operation is available when you click on 'Select'.
Answered on 4/16/2014 by davina

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