BlueCross BlueShield Preferred 1500, A Multi-State Plan

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
BlueCross BlueShield Preferred 1500, A Multi-State
Plan ID
40308VA0280001
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
CareFirst BlueCross BlueShield
Metal Level
Silver
Plan Type
PPO
Deductible
$1,500
Out-of-Pocket Maximum
$5,500
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $235.44
Deductible
Individual: $1500
Family: $3000
In-Network Out-of-Pocket Limit
Individual: $5500
Family: $11000
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
$40 Copay after deductible
Hospital facility fee
30% Coinsurance after deductible
Emergency Room
30% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: 20% Coinsurance after deductible
Specialty Drugs
Coverage: 50% 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 BlueCross BlueShield Preferred 1500, A Multi-State Plan Obamacare Plan in Virginia

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KEMPSVILLE PHYSICAL THERAPY P C
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
OWEN, LINDA
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
PHOCAS, JOHN
5272 FAIRFIELD BLVD
VIRGINIA BEACH, VA 23464
JOHNSON, LESTER
5544 GREENWICH RD STE 200
VIRGINIA BEACH, VA 23462
FABISZEWSKI, NINA
5544 GREENWICH RD STE 200
VIRGINIA BEACH, VA 23462
IQBAL, TARIQ
850 KEMPSVILLE RD
NORFOLK, VA 23502
SIVERD, STEVE
6320 N CENTER DR
NORFOLK, VA 23502
NORFOLK PLASTIC SURGERY, PC
6161 KEMPSVILLE CIR
NORFOLK, VA 23502
HABEEB, EDWARD
100 WIMBLEDON SQ STE A
CHESAPEAKE, VA 23320
ATWOOD FAMILY MEDICAL CENTER
108 KNELLS RIDGE BLVD
CHESAPEAKE, VA 23320
MELIA, MICHAEL
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
KNEE, TREYCE
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
JOHNSON, ANDREW
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
MCGUINNESS, IAN
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
ARSLAN, GOHAR
355 CRAWFORD ST
PORTSMOUTH, VA 23704
Details
KEMPSVILLE PHYSICAL THERAPY P C
Phone Number
(757) 523-4705
Office Locations
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
5320 PROVIDENCE RD VIRGINIA BEACH VA, 23464

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