Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Highmark
Metal Level
Gold
Plan Type
PPO
Deductible
$1200
Out-of-Pocket Maximum
$3700
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $161.26
Deductible
Individual: $1200
Family: $2400
In-Network Out-of-Pocket Limit
Individual: $3700
Family: $7200
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
$20 Copay
Specialist
$30 Copay
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $8 Copay
Specialty Drugs
Coverage: 25% Coinsurance
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 Shared Cost Blue PPO 1200 a Community Blue Obamacare Plan in Pennsylvania

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NGUYEN, KENNETH
448 E WYOMING AVE
PHILADELPHIA, PA 19120
SMALL, RONALD
104 W CHELTENHAM AVE
PHILADELPHIA, PA 19120
TADLEY, GERALD
335 E WYOMING AVE
PHILADELPHIA, PA 19120
BLENDER, BURTON
335 E WYOMING AVE
PHILADELPHIA, PA 19120
MASSEY, JULIE
101 E OLNEY AVE
PHILADELPHIA, PA 19120
HOELLEIN, KENNETH
101 E OLNEY AVE
PHILADELPHIA, PA 19120
VANGORE, SURYA
431 W ROOSEVELT BLVD
PHILADELPHIA, PA 19120
MCCAFFERTY, JOHN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SHOPPER, GLENN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
GYI, AUNG
101 E OLNEY AVE
PHILADELPHIA, PA 19120
ROTH, JONATHAN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
AHSAN, SYED
101 E OLNEY AVE
PHILADELPHIA, PA 19120
CLARKE, CLAUDINE
101 E OLNEY AVE
PHILADELPHIA, PA 19120
TORCATO, BRIAN
5900 RISING SUN AVE
PHILADELPHIA, PA 19120
VACHRANUKUNKIET, THEERA
101 E OLNEY AVE
PHILADELPHIA, PA 19120
ESQUENAZI, ALBERTO
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SCHWARTZ, HARRY
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SANANMAN, PETER
51 N 39TH ST
PHILADELPHIA, PA 19104
WALSH, BRIAN
4702 N 5TH ST
PHILADELPHIA, PA 19120
MEHROTRA, DEEPAK
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SAMUELS, EYDA
101 E OLNEY AVE
PHILADELPHIA, PA 19120
HAILS, KEVIN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SCHINDLER, ALAN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
BELL, GEORGE
101 E OLNEY AVE
PHILADELPHIA, PA 19120
WIKOFF, EDWARD
101 E OLNEY AVE
PHILADELPHIA, PA 19120
Details
KENNETH NGUYEN, M.D.
Phone Number
(215) 324-2180
Office Locations
448 E WYOMING AVE
PHILADELPHIA, PA 19120
448 E WYOMING AVE PHILADELPHIA PA, 19120

Community Q&A

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