Blue Advantage Gold PPO 002

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Blue Advantage Gold PPO 002
Plan ID
87571OK0350002
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of Oklahoma
Metal Level
Gold
Plan Type
PPO
Deductible
$1,500
Out-of-Pocket Maximum
$3,500
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $200.54
Deductible
Individual: $1500
Family: $4500
In-Network Out-of-Pocket Limit
Individual: $3500
Family: $10500
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
$10 Copay
Specialist
$60 Copay
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: No Charge
Specialty Drugs
Coverage: $150 Copay
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network

Maternity Services

Service
In Network
Out of Network

Coverage Options Summary

Included Benefits
  • Non-preferred brand drugs

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

List of doctors that accepts Blue Advantage Gold PPO 002 Obamacare Plan in Oklahoma

/
TREACY, BRYAN
1035 SW 19TH ST
MOORE, OK 73160
LONG, DAVID
700 S TELEPHONE ROAD
MOORE, OK 73160
CHILDS, JERRY
700 S TELEPHONE ROAD
MOORE, OK 73160
PADGHAM, MICHAEL
700 S TELEPHONE ROAD
MOORE, OK 73160
FANNING, JANET
8100 S WALKER AVE
OKLAHOMA CITY, OK 73139
NOORI, DARIUS
1267 S EASTERN AVE
MOORE, OK 73160
NYDICK, CYNTHIA
520 S TELEPHONE RD
MOORE, OK 73160
MORRIS, CLAYTON
604 S CLASSEN AVE STE C
MOORE, OK 73160
SMITH, SHAWN
1700 S BROADWAY ST
MOORE, OK 73160
MILLER, ANDREA
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
THOMPSON, CARL
1708 SUNRISE
MOORE, OK 73160
ROLOFSON, HOLLY
3100 CAREY PL
MOORE, OK 73160
CLAVER, HAROLD
101 WESLEY CIR
MOORE, OK 73160
MONTEIRO, ANDREW
7100 S I 35 SERVICE RD
OKLAHOMA CITY, OK 73149
HOPE, JOHN
7000 CROSSROADS BLVD
OKLAHOMA CITY, OK 73149
MEEK, BRIAN
7100 S I 35 SERVICE RD
OKLAHOMA CITY, OK 73149
ARBUCKLE, TIFFANY
7100 SOUTH I-35 SERVICE RD
OKLAHOMA CITY, OK 73149
JOHNSON, PAUL
7100 S I 35 SERVICE RD
OKLAHOMA CITY, OK 73149
NICKELS, TERRY
2803 SE 44TH ST
OKLAHOMA CITY, OK 73129
JOHNSON, DONNA
8100 S WALKER AVE
OKLAHOMA CITY, OK 73139
MORE, KELLI
10001 S WESTERN AVE
OKLAHOMA CITY, OK 73139
UNSELL, ROBERT
10001 S WESTERN AVE
OKLAHOMA CITY, OK 73139
HOGIN, JAMES
6510 S WESTERN AVE
OKLAHOMA CITY, OK 73139
SCHROEDER, LESLIE
10001 S WESTERN AVE
OKLAHOMA CITY, OK 73139
ROBINETT, JOHN
1100 SW 89TH ST
OKLAHOMA CITY, OK 73139
Details
BRYAN TREACY, MD
Phone Number
(405) 793-9171
Office Locations
1035 SW 19TH ST
MOORE, OK 73160
1035 SW 19TH ST MOORE OK, 73160

Community Q&A

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