Blue Advantage Silver HMO 004

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Blue Advantage Silver HMO 004
Plan ID
33602TX0460004
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
BlueCross BlueShield of Texas
Metal Level
Silver
Plan Type
HMO
Deductible
$3,000
Out-of-Pocket Maximum
$6,350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $185.86
Deductible
Individual: $3000
Family: $9000
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
HMO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$35 Copay
Specialist
$55 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 Silver HMO 004 Obamacare Plan in Texas

/
MARQUEZ, FRANCISCO
11621 PELLICANO DR
EL PASO, TX 79936
HOFFER, THOMAS
2400 TRAWOOD DR
EL PASO, TX 79936
REISTER, GARY
2400 TRAWOOD DR
EL PASO, TX 79936
CALDERONI, HENRY
1721 N LEE TREVINO DR
EL PASO, TX 79936
MARQUEZ-SMITH, TERESA
11410 VISTA DEL SOL DR
EL PASO, TX 79936
MCDONALD, DUNCAN
11450 ROJAS DR
EL PASO, TX 79936
RUFFIER, JOSE
11365 MONTWOOD DR
EL PASO, TX 79936
ZAYAS, RAUL
11880 VISTA DEL SOL DR
EL PASO, TX 79936
REED, TERESA
1400 GEORGE DIETER DR
EL PASO, TX 79936
FARRELL, MITCHELL
1400 GEORGE DIETER DR
EL PASO, TX 79936
WONG, KA
1400 GEORGE DIETER DR
EL PASO, TX 79936
BLANCAS, MOSES
1721 N LEE TREVINO DR STE B
EL PASO, TX 79936
GARCIA, BLANCA
4801 ALBERTA AVE
EL PASO, TX 79905
HERNANDEZ, ARTURO
2931 GEORGE DIETER DR
EL PASO, TX 79936
GERALDE, NICOLO
2028 PASEO DEL PRADO DR
EL PASO, TX 79936
AKOMOLAFE, BABATUNDE
11351 JAMES WATT DR
EL PASO, TX 79936
HARTVIGSEN, CURTIS
1610 N ZARAGOZA RD
EL PASO, TX 79936
MUNOZ, DENISE
1091 WHIRLAWAY DR
EL PASO, TX 79936
ROMERO, ROCKY
11395 JAMES WATT DR
EL PASO, TX 79936
BRANDON, PATRICK
12135 MONTWOOD DR
EL PASO, TX 79936
GILARDONI, PAUL
1416 GEORGE DIETER DR
EL PASO, TX 79936
MENDOZA-CASTILLO, RODIN
1860 DEAN MARTIN DR
EL PASO, TX 79936
INFANTE, MANUEL
3100 LEE TREVINO
EL PASO, TX 79936
HERNANDEZ, ARTURO
11680 PEBBLE HILLS BLVD
EL PASO, TX 79936
REYNOLDS, BRIAN
11950 BOB MITCHELL DR
EL PASO, TX 79936
Details
FRANCISCO MARQUEZ, M.D., P.A.
Phone Number
(915) 856-9979
Office Locations
11621 PELLICANO DR
EL PASO, TX 79936
11621 PELLICANO DR EL PASO TX, 79936

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
1 question| 1 answer
Away from home care
Q:Does this plan have Away from home care guest membership benefit?
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: HealthPocket is an source of information and not a health plan or an insurance agent. For specific questions regarding benefits, you should contact the insurance provider directly at (800) 798-8321.
Answered on 1/23/2014 by davina

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