Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of Alabama
Metal Level
Silver
Plan Type
PPO
Deductible
$2000
Out-of-Pocket Maximum
$6350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $550.76
Deductible
Individual: $2000
Family: $4000
In-Network Out-of-Pocket Limit
Individual: $6350
Family: $12700
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
$40 Copay
50% Coinsurance after deductible
Specialist
$60 Copay
50% Coinsurance after deductible
Diagnostic Test (X-ray, blood work)
$0 Copay
50% Coinsurance after deductible
Outpatient Facility Fee
$300 Copay
50% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
0% Coinsurance after deductible
50% Coinsurance after deductible
Hospital facility fee
$300 Copay
50% Coinsurance after deductible
Hospital physician/surgeon fee
0% Coinsurance after deductible
50% Coinsurance after deductible
Emergency Room
$300 Copay
$300 Copay

Drug Services

Generic Drugs
Coverage: $20 Copay
Preferred Brand Drugs
Coverage: $60 Copay
Specialty Drugs
Coverage: 50% Coinsurance

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
$60 Copay
50% Coinsurance after deductible
Mental/behavioral health inpatient services
Not Covered
50% Coinsurance
Substance use disorder inpatient services
Not Covered
$50 Copay
Substance use disorder outpatient services
$60 Copay
50% Coinsurance after deductible

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
0% Coinsurance after deductible
50% Coinsurance after deductible
Delivery and all inpatient services for maternity care
0% Coinsurance after deductible
50% Coinsurance after deductible

Coverage Options Summary

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

What To Know

  • This is an ACA (Obamacare) compliant health plan.

Physician Directory

List of doctors that accepts Blue Secure Silver Obamacare Plan in Alabama

/
KING, DUANE
1160 HUFFMAN ROAD
BIRMINGHAM, AL 35215
CHEN, PEI
48 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
CAPLASH, VIJAY
1524 HUFFMAN RD
BIRMINGHAM, AL 35215
MOREHEAD, MARTHA
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
SIMS, MARION
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
GONZALEZ, ENGLISH
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
SHAFFER, CALVIN
9709 PARKWAY E
BIRMINGHAM, AL 35215
VONDER POOL, BEVERLY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
GOTFRYD, MARK
1703 CENTER POINT PKWY
BIRMINGHAM, AL 35215
PAJARO, NANCY
3240 EDWARDS LAKE PKWY
BIRMINGHAM, AL 35235
MOORE, KATHERINE
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
SHEPARD, NATHAN
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
UPTAGRAFFT, BROOKE
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
SIMMONS, DAVID
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
OWENS, KIMBERLY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
HIGGINS, STEPHEN
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
GOODEN, KATRINA
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
BARMORE, LASHELLE
48 MEDICAL PARK DR E STE 154
BIRMINGHAM, AL 35235
TOBE-DONOHUE, COLLEEN
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
CUSTIS, JAMES
9772 PARKWAY E
BIRMINGHAM, AL 35215
GIAMMANCO, NATALIE
1301 CENTER POINT PKWY
BIRMINGHAM, AL 35215
ROMAN, DEBORAH
9772 PARKWAY E
BIRMINGHAM, AL 35215
PIKE, BOB
9772 PARKWAY E
BIRMINGHAM, AL 35215
POWELL, MICHAEL
9772 PARKWAY E
BIRMINGHAM, AL 35215
JOHNSON, ANKREHAH
48 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Details
DUANE KING, MD
Phone Number
(205) 815-5000
Office Locations
1160 HUFFMAN ROAD
BIRMINGHAM, AL 35215
1160 HUFFMAN ROAD BIRMINGHAM AL, 35215

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
0 question | 0 answers

Similar Plans

Similar Plans to Blue Secure Silver Obamacare Plan in Alabama

PremiumPlan NameMetal Level
$128.00
Blue Protect
Select
$133.77
Humana Local Preferred Basic 6350/6350 Plan
Select
$165.07
Catastrophic 1 - $6350, 100%
Select

Useful Links

 

 

Speak with a licensed agent

(800) 471-6156

(800) 471-6156