Shared Cost Blue PPO 1200 a Community Blue Plan

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Shared Cost Blue PPO 1200 a Community Blue
Plan ID
33709PA0390009
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Highmark
Metal Level
Gold
Plan Type
PPO
Deductible
$1,200
Out-of-Pocket Maximum
$3,700
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 Plan Obamacare Plan in Pennsylvania

/
VANGORE, SURYA
431 W ROOSEVELT BLVD
PHILADELPHIA, PA 19120
SHOPPER, GLENN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
AHSAN, SYED
101 E OLNEY AVE
PHILADELPHIA, PA 19120
BRADY, PAUL
101 E OLNEY AVE
PHILADELPHIA, PA 19120
GARCIA, LAUREANO
328 W GODFREY AVE
PHILADELPHIA, PA 19120
ROJAS, JOB
101 E OLNEY AVE
PHILADELPHIA, PA 19120
D'ORAZIO, JOSEPH
101 E OLNEY AVE
PHILADELPHIA, PA 19120
KOWALSKI, JOHN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
ANG, DEXTER
100 BOWMAN DR
VOORHEES, NJ 08043
YOO, STANLEY
101 E OLNEY AVE
PHILADELPHIA, PA 19120
ROSS, HARRIS
328 W GODFREY AVENUE
PHILADELPHIA, PA 19120
LEE, SUN TACK
5245 N 5TH ST
PHILADELPHIA, PA 19120
KIM, HI
5438 N LAWRENCE STREET
PHILADELPHIA, PA 19120
OTERO-PEREZ, GUILLERMO
101 E OLNEY AVE
PHILADELPHIA, PA 19120
JAFFE, RICHARD
101 E OLNEY AVE
PHILADELPHIA, PA 19120
TRINH, CHUONG
5920 N 5TH ST
PHILADELPHIA, PA 19120
BELL, GEORGE
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SANANMAN, PETER
51 N 39TH ST
PHILADELPHIA, PA 19104
TORCATO, BRIAN
5900 RISING SUN AVE
PHILADELPHIA, PA 19120
KRAMER, JAN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
GYI, AUNG
101 E OLNEY AVE
PHILADELPHIA, PA 19120
MINION, STEVEN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
MATSON, DAVID
101 E OLNEY AVE
PHILADELPHIA, PA 19120
VOSKERIDJIAN, ARMEN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
PARTHIPAN, LOGANATHAN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
Details
SURYA VANGORE, M.D.
Phone Number
(215) 455-3444
Office Locations
431 W ROOSEVELT BLVD
PHILADELPHIA, PA 19120
431 W ROOSEVELT BLVD PHILADELPHIA PA, 19120

Community Q&A

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