2019 Gold G06S, Network S Plan Details - HealthPocket

Gold G06S, Network S

$980.04/mo

Apply For This Plan

Zip Code37013
Applicant10/15/1984 Male
Coverage Start10/16/2019
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameGold G06S, Network S
Plan IDhhs-14002TN0400202
Plan Year2019
Insurance ProviderBlueCross BlueShield of Tennessee
Metal LevelGold
Plan TypeEPO
Deductible$1,500
Out-of-Pocket Maximum$6,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$35 Copay
Specialist Visit$50 Copay
Laboratory Outpatient and Professional Services0.00% Coinsurance
X-rays and Diagnostic Imaging0.00% Coinsurance
Diagnostic Imaging such as MRIs, CT, and PET scans20.00% Coinsurance after deductible
Deductible - Family$3000 per group
Out-of-Pocket Maximum - Family$12700 per group

Prescription drug coverage

Generic Drugs$8 Copay
Preferred Brand Drugs$35 Copay
Non-Preferred Brand Drugs$60 Copay
Specialty Drugs$120 Copay

Access to doctors and hospitals

Provider directory URLhttp://www.bcbst.com/tools/findadoctor/
Does this plan have access to a national provider network?Yes
Is a referral required to see a Specialist?Not Covered
Does this plan cover services outside plan service area?Yes - BlueCard PPO
Does this plan cover services outside the country?Yes - Blue Cross Blue Shield Global Core

Hospital services

Emergency Room Services20.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services20.00% Coinsurance after deductible
Emergency Transportation or Ambulance Service20.00% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care$35 Copay
Delivery and all inpatient services for maternity care20.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient Services$35 Copay
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible
Substance use disorder outpatient services$35 Copay
Substance use disorder inpatient services20.00% Coinsurance after deductible

Medical Management Programs

Does this plan offer disease managment programs?Asthma, Diabetes, Heart Disease
Does this plan offer a wellness program?Not Covered

Vision Coverage

Routine Eye Exam for ChildrenIncluded
Eye Glasses for ChildrenIncluded
Routine Eye Exam for AdultsNot Covered

Child Dental Coverage

Child Dental Coverage - Routine Dental CareIncluded
Child Dental Coverage - Basic Dental CareIncluded
Child Dental Coverage - OrthodontiaIncluded
Child Dental Coverage - Major Dental CareIncluded

Adult Dental Coverage

Adult Dental Coverage - Routine Dental CareNot Covered
Adult Dental Coverage - Basic Dental CareNot Covered
Adult Dental Coverage - OrthodontiaNot Covered
Adult Dental Coverage - Major Dental CareNot Covered

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Preventive Care/Screening/Immunization
Imaging (CT/PET Scans, MRIs)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Durable Medical Equipment
Hospice Services
Accidental Dental
Allergy Testing
Chemotherapy
Diabetes Education
Dialysis
Infusion Therapy
Laboratory Outpatient and Professional Services
Nutritional Counseling
Prosthetic Devices
Radiation
Reconstructive Surgery
Transplant
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
More Limited BenefitsSkilled Nursing Facility
Hearing Aids
Home Health Care Services
Outpatient Rehabilitation Services
Habilitation Services
Dental Check-Up for Children
Chiropractic Care
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Bariatric Surgery
Cosmetic Surgery
Infertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Weight Loss Programs
Routine Foot Care
Abortion for Which Public Funding is Prohibited
PremiumPlan NameDeductible
from $159
BlueCross Silver S07E
$1,500.00Select
from $190
BlueCross Silver S07S
$1,500.00Select
from $221
myCigna Health Flex 1500
$1,500.00Select
from $229
BlueCross Gold G06E
$1,500.00Select
from $275
BlueCross Gold G06S
$1,500.00Select
/
Please select the correct zip
William, Leone
View All Details
Stephen, D'amico
View All Details
Pain Management Group, P.c.
View All Details
Johanna, Grose
View All Details
Hannah, Baisley
View All Details
Alex, Neihoff
View All Details
Seven Springs Orthopaedics, Pc
View All Details
Barbara, Laifer
View All Details
Jaclyn, Craddock
View All Details
Jouan, Cox
View All Details
Terisa, Reimschisel
View All Details
Patient Care Llc
View All Details
Chatterbox Speech And Language Theapy
View All Details
Natalie, Butler
View All Details
Kelly, Escandon
View All Details
Seven Springs Orthopaedics And Sports Medicine
View All Details
William Leone, M.D.
View All Details
  • Phone Number
    (615) 941-8501
  • Office Locations
    5801 Crossings Blvd
    Antioch, TN 37013
5801 Crossings Blvd Antioch TN, 37013
  • 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.

Read More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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 part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

Close

Health Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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 part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).