Blue Cross Blue Shield Premier 2, a Multi-State Plan

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Blue Cross Blue Shield Premier 2, a Multi-State
Plan ID
36096IL0780002
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Blue Cross Blue Shield of Illinois
Metal Level
Gold
Plan Type
PPO
Deductible
$500
Out-of-Pocket Maximum
$4,000
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $293.33
Deductible
Individual: $500
Family: $1500
In-Network Out-of-Pocket Limit
Individual: $4000
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
Specialist
$60 Copay
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: No Charge
Specialty Drugs
Coverage: $150 Copay
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 Blue Shield Premier 2, a Multi-State Plan Obamacare Plan in Illinois

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KARPINSKI, ALINA
2701 W 68TH ST
CHICAGO, IL 60629
CALERO, ELEAZAR
4324 W 63RD ST
CHICAGO, IL 60629
AGRAWAL, HARI
2701 W 68TH ST
CHICAGO, IL 60629
LINDENBERGER, MARTIN
3124 W 59TH ST
CHICAGO, IL 60629
CAVERO, JORGE
4007 W 63RD ST
CHICAGO, IL 60629
PARIKH, SHERMI
4255 W 63RD ST
CHICAGO, IL 60629
CHRISTOU, THEODORE
5525 S PULASKI RD
CHICAGO, IL 60629
MIRSHED, NAYEH
4255 W 63RD STREET
CHICAGO, IL 60629
HOLY CROSS HOSPITAL ANESTHESIA
2701 W 68TH ST
CHICAGO, IL 60629
CHICAGO FOOT AND ANKLE PC
5700 S KEDZIE AVE
CHICAGO, IL 60629
HORIZON PHYSICAL THERAPY PC
6441 S PULASKI RD
CHICAGO, IL 60629
MENENDEZ, CESAR
5525 S PULASKI RD
CHICAGO, IL 60629
WONG, ALTON
5525 S PULASKI RD
CHICAGO, IL 60629
ATASSI, MOHAMAD
6625 S PULASKI RD
CHICAGO, IL 60629
LEKOVIC, MARKO
6433 S PULASKI RD
CHICAGO, IL 60629
MIRZA, MOHAMMAD
6723 S PULASKI ROAD
CHICAGO, IL 60629
ELADASARI, BABU
4200 W 63 RD STREET
CHICAGO, IL 60629
BUSTAMANTE, GUADALUPE
4007 W 63RD ST
CHICAGO, IL 60629
GUZMAN, MAURICE
4200 W 63RD ST
CHICAGO, IL 60629
ADEYANJU, TINUOLA
2519W 59TH ST
CHICAGO, IL 60629
DAHODWALA, MOHAMED
6441 S PULASKI RD
CHICAGO, IL 60629
CLAVIER, ALEJANDRO
3124 W 59TH ST
CHICAGO, IL 60629
FURLONG, DENISE
6433 S PULASKI RD
CHICAGO, IL 60629
ALLEN, CHARLES
5700 S KEDZIE AVE
CHICAGO, IL 60629
ANGARITA, LUIS
4007 W 63RD ST
CHICAGO, IL 60629
Details
ALINA KARPINSKI, MD
Phone Number
(773) 434-4040
Office Locations
2701 W 68TH ST
CHICAGO, IL 60629
2701 W 68TH ST CHICAGO IL, 60629

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