Blue Cross« Silver, a Multi-State Plan

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Blue Cross« Silver, a Multi-State
Plan ID
15560MI0410001
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of Michigan
Metal Level
Silver
Plan Type
PPO
Deductible
$1,400
Out-of-Pocket Maximum
$6,000
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $260.62
Deductible
Individual: $1400
Family: $2800
In-Network Out-of-Pocket Limit
Individual: $6000
Family: $12000
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
$30 Copay after deductible
Specialist
$50 Copay after deductible
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $15 Copay after deductible
Specialty Drugs
Coverage: 20% 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 Cross« Silver, a Multi-State Plan Obamacare Plan in Michigan

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SHAH, SAUMEEN
18311 W WARREN AVE
DETROIT, MI 48228
EUBANKS, PRINCE
20526 PLYMOUTH RD
DETROIT, MI 48228
OBEID, ZAFER
16921 W WARREN AVE
DETROIT, MI 48228
PRECHEL, WILLIAM
16551 W WARREN AVE
DETROIT, MI 48228
SAAD, GEORGE
20526 PLYMOUTH RD STE C
DETROIT, MI 48228
TAYLOR DIAGNOSTIC IMAGING INC
20524 W WARREN AVE
DETROIT, MI 48228
PRECHEL FAMILY CLINIC, PC
16551 W WARREN AVE
DETROIT, MI 48228
SYED AMOUZEGAR, MD,PLLC
16810 W WARREN AVE
DETROIT, MI 48228
AMOUZEGAR, SYED
16810 W WARREN AVE
DETROIT, MI 48228
ALAZEM, IMAD
4700 GREENFIELD RD
DEARBORN, MI 48126
IQBAL, AMIR
4900 MERCURY DR SUITE 201
DEARBORN, MI 48126
SENGSTOCK, DAVID
4900 MERCURY DR
DEARBORN, MI 48126
SELITSKY, BENSON
5050 SCHAEFER RD
DEARBORN, MI 48126
STEFAN, NATALIE
5500 AUTO CLUB DR
DEARBORN, MI 48126
MOHAMED, TAHIR
6050 GREENFIELD RD
DEARBORN, MI 48126
ELMENINI, MOHAMMAD
10645 W WARREN AVE
DEARBORN, MI 48126
IRBY-JOHNSON, NIJUANNA
4900 MERCURY DR SUITE 201
DEARBORN, MI 48126
KINTHALI, BHAGYA
4700 GREENFIELD RD
DEARBORN, MI 48126
TROYER, SARA
4700 SCHAEFER RD
DEARBORN, MI 48126
AZMEH, RANDA
6450 MAPLE ST
DEARBORN, MI 48126
FOOT AND ANKLE SPECIALTY CLINIC
5525 SCHAEFER RD
DEARBORN, MI 48126
ALOOL, MOHANNAD
6050 GREENFIELD RD
DEARBORN, MI 48126
LOTENERO, CARRIE
19401 HUBBARD DR
DEARBORN, MI 48126
RAYOS, CLARENCE
19401 HUBBARD DR
DEARBORN, MI 48126
HADDAD, LEILA
19401 HUBBARD DR
DEARBORN, MI 48126
Details
SAUMEEN SHAH
Phone Number
(313) 982-0002
Office Locations
18311 W WARREN AVE
DETROIT, MI 48228
18311 W WARREN AVE DETROIT MI, 48228

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