Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of North Carolina
Metal Level
Silver
Plan Type
PPO
Deductible
$3500
Out-of-Pocket Maximum
$6350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $272.95
Deductible
Individual: $3500
Family: $7000
In-Network Out-of-Pocket Limit
Individual: $6350
Family: $12700
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
Specialist
$50 Copay
Hospital facility fee
30% Coinsurance after deductible
Emergency Room
$150 Copay

Drug Services

Generic Drugs
Coverage: $10 Copay after deductible
Specialty Drugs
Coverage: 25% Coinsurance after deductible
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 Silver 3500 Obamacare Plan in North carolina

/
GOODMAN, SARAH
10220 PROSPERITY PARK RD
CHARLOTTE, NC 28269
TEAL, WENDY
1805 MT ISLE HARBOR DR
CHARLOTTE, NC 28214
DEVINE, BRIAN
10220 PROSPERITY PARK DRIVE
CHARLOTTE, NC 28269
WOLYNIAK, JOSEPH
7004 SMITH CORNERS BLVD
CHARLOTTE, NC 28269
MADSEN, CHRISTIAN
9200 WEST WT HARRIS BOULEVARD
CHARLOTTE, NC 28269
ROCKMAN, ERIN
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
KILBANE, SHEILA
8605 CLIFF CAMERON DR
CHARLOTTE, NC 28269
REARDON, KATHLEEN
101 E W T HARRIS BLVD
CHARLOTTE, NC 28262
ASHENFARB, STEVEN
1308 BEDLINGTON DR
CHARLOTTE, NC 28269
HUDSON, TONYA
5435 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269
BRANDON, ROCHELLE
4409 RANCLIFFE CT
CHARLOTTE, NC 28269
DUMOND, SARA
6401 STARGAZE LN
CHARLOTTE, NC 28269
PAUL, JONATHAN
10616 METROMONT PKWY
CHARLOTTE, NC 28269
JONES, KAREN
10210 PROSPERITY PARK DRIVE
CHARLOTTE, NC 28269
RUPE, CAROL
3230 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269
BEAN, MICHAEL
5435 PROSPERITY CHURCH ROAD
CHARLOTTE, NC 28269
SHOLAR, VERONICA
10616 METROMONT PKWY STE 102
CHARLOTTE, NC 28269
ROLLINS, JEANNE
5435 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269
BISSOONDIAL, PHILIP
741 KENILWORTH AVE
CHARLOTTE, NC 28204
HUNSTAD, JOSEPH
8605 CLIFF CAMERON DR
CHARLOTTE, NC 28269
LEWIS, ANGELA
4045 AMBER LEIGH WAY DR
CHARLOTTE, NC 28269
SALMON, MARY
4920 OLD FOX TRL
CHARLOTTE, NC 28269
CHARLOTTE SPORTS MEDICINE INSTITUTE, P.A.
10616 METROMONT PKWY
CHARLOTTE, NC 28269
RACZ, LEAH
10616 METROMONT PKWY
CHARLOTTE, NC 28269
MEHTA, SHRADDHA
251 EASTWAY DR
CHARLOTTE, NC 28213
Details
SARAH GOODMAN, MD
Phone Number
(704) 384-1425
Office Locations
10220 PROSPERITY PARK RD
CHARLOTTE, NC 28269
10220 PROSPERITY PARK RD CHARLOTTE NC, 28269

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
1 question| 1 answer
drug coverage
Q:How much deductible must be paid before copay can be used
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: Per the Cost&Coverage Overview section, there is no separate prescription deductible amount, it means that you have to pay all the bills before you meet the deductible amount, after that, you would then pay a copay amount for generic drugs. HealthPocket is an source of information and not a health plan or an insurance agent. If you have more specific benefits inquiry, 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 2/6/2014 by davina

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