Shared Cost Blue PPO 2650 a Community Blue Plan

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Shared Cost Blue PPO 2650 a Community Blue
Plan ID
33709PA0390005
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Highmark
Metal Level
Silver
Plan Type
PPO
Deductible
$2,650
Out-of-Pocket Maximum
$6,350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $133
Deductible
Individual: $2650
Family: $5300
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
$40 Copay
Specialist
$60 Copay
Hospital facility fee
30% Coinsurance after deductible
Emergency Room
30% 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 2650 a Community Blue Plan Obamacare Plan in Pennsylvania

/
YOO, SOOK
101 E OLNEY AVE
PHILADELPHIA, PA 19120
LEVIN, BRUCE
410 E ROOSEVELT BLVD
PHILADELPHIA, PA 19120
BELL, GEORGE
101 E OLNEY AVE
PHILADELPHIA, PA 19120
YOO, STANLEY
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
MATSON, DAVID
101 E OLNEY AVE
PHILADELPHIA, PA 19120
VANGORE, SURYA
431 W ROOSEVELT BLVD
PHILADELPHIA, PA 19120
GARCIA, LAUREANO
328 W GODFREY AVE
PHILADELPHIA, PA 19120
STEERMAN, PAUL
101 E OLNEY AVE
PHILADELPHIA, PA 19120
COMPREHENSIVE MED CARE
328 W GODFREY AVE
PHILADELPHIA, PA 19120
NGUYEN, TRUONG
5746 RISING SUN AVE
PHILADELPHIA, PA 19120
EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC
101 E OLNEY AVE
PHILA, PA 19120
BLENDER, BURTON
335 E WYOMING AVE
PHILADELPHIA, PA 19120
TADLEY, GERALD
335 E WYOMING AVE
PHILADELPHIA, PA 19120
ESQUENAZI, ALBERTO
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SMALL, RONALD
104 W CHELTENHAM AVE
PHILADELPHIA, PA 19120
MASSEY, JULIE
101 E OLNEY AVE
PHILADELPHIA, PA 19120
NGUYEN, KENNETH
448 E WYOMING AVE
PHILADELPHIA, PA 19120
MYERS, JOHN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
ROSENSTEIN, KENNETH
101 E OLNEY AVE
PHILADELPHIA, PA 19120
STANILLA, JOSEPH
101 E OLNEY AVE
PHILADELPHIA, PA 19120
HAILS, KEVIN
101 E OLNEY AVE
PHILADELPHIA, PA 19120
HOELLEIN, KENNETH
101 E OLNEY AVE
PHILADELPHIA, PA 19120
COSGROVE, DOUGLAS
101 E OLNEY AVE
PHILADELPHIA, PA 19120
Details
SOOK YOO, MD
Phone Number
(215) 456-7000
Office Locations
101 E OLNEY AVE
PHILADELPHIA, PA 19120
101 E OLNEY AVE PHILADELPHIA PA, 19120

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