2019 Blue Select Gold 2500 (tiered network) Plan Details - HealthPocket

Blue Select Gold 2500 (tiered network)

$546.35/mo

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Zip Code28269
Applicant4/21/1984 Male
Coverage Start4/22/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue Select Gold 2500 (tiered network)
Plan IDqhp-11512NC0120003
Plan Year2019
Insurance ProviderBlue Cross Blue Shield of North Carolina
Metal LevelGold
Plan TypePPO
Deductible$2,500
Out-of-Pocket Maximum$7,900
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$5 Copay
Specialist Visit$30 Copay
Deductible - Family$5000
Out-of-Pocket Maximum - Family$15800

Prescription drug coverage

Generic Drugs$4 Copay
Preferred Brand Drugs$35 Copay
Non-Preferred Brand Drugs$80 Copay
Specialty Drugs25% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services$500 Copay
Inpatient Hospital Services (e.g., Hospital Stay)20% Coinsurance after deductible
Inpatient Physician and Surgical Services20% Coinsurance after deductible
PremiumPlan NameDeductible
from $189
Blue Value Bronze 2700
$2,700.00Select
from $229
Blue Advantage Bronze 2700
$2,700.00Select
from $382
Blue Value Gold 2500 (limited network with UNC Health Alliance)
$2,500.00Select
from $467
Blue Value Gold 2500 (limited network with UNC Health Alliance)
$2,500.00Select
from $475
Blue Value Gold 2500 (limited network)
$2,500.00Select
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  • Phone Number
    (704) 384-1425
  • Office Locations
    10220 Prosperity Park Rd
    Charlotte, NC 28269
10220 Prosperity Park Rd Charlotte NC, 28269
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)