Blue Advantage Silver 3500

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Blue Advantage Silver 3500
Plan ID
11512NC0060020
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of North Carolina
Metal Level
Silver
Plan Type
PPO
Deductible
$3,500
Out-of-Pocket Maximum
$6,350
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

/
RACZ, LEAH
10616 METROMONT PKWY
CHARLOTTE, NC 28269
LESTER, SUSAN
5727 PROSPERITY CROSSING DRIVE
CHARLOTTE, NC 28269
ASHENFARB, STEVEN
1308 BEDLINGTON DR
CHARLOTTE, NC 28269
SALMON, MARY
4920 OLD FOX TRL
CHARLOTTE, NC 28269
MOORE, MARGARET
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
SHOLAR, VERONICA
10616 METROMONT PKWY STE 102
CHARLOTTE, NC 28269
PIEDMONT THERAPY SERVICES, INC.
8810 LAUREL RUN DR
CHARLOTTE, NC 28269
HUDSON, TONYA
5727 PROSPERITY CROSSING DRIVE
CHARLOTTE, NC 28269
LEWIS, ANGELA
4045 AMBER LEIGH WAY DR
CHARLOTTE, NC 28269
INDUSTRICARE
10430 B HARRIS OAKS BLVD
CHARLOTTE, NC 28269
REDDY, SABENA
8218 SUTTONVIEW DR
CHARLOTTE, NC 28269
BEAN, MICHAEL
5435 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269
KNUTSON, HEATHER
5727 PROSPERITY CHURCH ROAD
CHARLOTTE, NC 28269
KALLEBERG, KARI
5727 PROSPERITY CROSSING DR.
CHARLOTTE, NC 28269
TAKAHASHI, REBECCA
5727 PROSPERITY CROSSING DR.
CHARLOTTE, NC 28269
WOLYNIAK, JOSEPH
7004 SMITH CORNERS BLVD
CHARLOTTE, NC 28269
CHARLOTTE SPORTS MEDICINE INSTITUTE, P.A.
10616 METROMONT PKWY
CHARLOTTE, NC 28269
ROCKMAN, ERIN
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
DUMOND, SARA
6401 STARGAZE LN
CHARLOTTE, NC 28269
KILBANE, SHEILA
8605 CLIFF CAMERON DR
CHARLOTTE, NC 28269
MADSEN, CHRISTIAN
9200 WEST WT HARRIS BOULEVARD
CHARLOTTE, NC 28269
CANGEMI, CHARLES
8738 UNIVERSITY CITY BLVD
CHARLOTTE, NC 28213
MICHAEL A DEROSE DDS PA
4901 N TRYON ST
CHARLOTTE, NC 28213
SCHNEIDER, CATHERINE
4901 N TRYON ST
CHARLOTTE, NC 28213
ZIEZIULA, JEFFREY
4901 N TRYON ST
CHARLOTTE, NC 28213
Details
LEAH RACZ, P.T.
Phone Number
(704) 597-7228
Office Locations
10616 METROMONT PKWY
CHARLOTTE, NC 28269
10616 METROMONT PKWY CHARLOTTE NC, 28269

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