2019 BlueCare Bronze (HSA) 1765 Plan Details - HealthPocket

BlueCare Bronze (HSA) 1765

$333.24/mo

Apply For This Plan

Zip Code33186
Applicant10/13/1984 Male
Coverage Start10/14/2019
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlueCare Bronze (HSA) 1765
Plan IDqhp-30252FL0020076
Plan Year2019
Insurance ProviderBlue Cross Blue Shield of Florida
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$6,000
Out-of-Pocket Maximum$6,000
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or IllnessNo Charge after Deductible
Specialist VisitNo Charge after Deductible
Laboratory Outpatient and Professional Services0.00% Coinsurance after deductible
X-rays and Diagnostic Imaging0.00% Coinsurance after deductible
Deductible - Family$12000
Out-of-Pocket Maximum - Family$12000

Prescription drug coverage

Generic DrugsNo Charge after Deductible
Preferred Brand DrugsNo Charge after Deductible
Non-Preferred Brand DrugsNo Charge after Deductible
Specialty DrugsNo Charge after Deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room ServicesNo Charge after Deductible
Inpatient Hospital Services (e.g., Hospital Stay)No Charge after Deductible
Inpatient Physician and Surgical ServicesNo Charge after Deductible

Maternity

Prenatal and Postnatal Care0.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient Services0.00% Coinsurance after deductible
Mental/Behavioral Health Inpatient Services0.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNot Applicable

Exclusions and Limitations

More Included BenefitsOutpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Urgent Care Centers or Facilities
Other Practitioner Office Visit (Nurse, Physician Assistant)
Home Health Care Services
Inpatient Physician and Surgical Services
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Routine Foot Care
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Nutritional Counseling
Reconstructive Surgery
Diabetes Care Management
Off Label Prescription Drugs
Dental Anesthesia
Congenital Anomaly, including Cleft Lip/Palate
Bone Marrow Transplant
Nutrition/Formulas
Osteoporosis
More Excluded BenefitsInfertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Acupuncture
Weight Loss Programs
Dental Check-Up for Children
Abortion for Which Public Funding is Prohibited
PremiumPlan NameDeductible
from $208
BlueCare Everyday Health Plus 1483P
$6,000.00Select
from $208
BlueSelect Everyday Health Plus 1449P
$6,000.00Select
from $212
myCigna Health Savings 6100
$6,100.00Select
from $215
Ambetter Bronze 3
$6,000.00Select
from $219
Ambetter Bronze 3 + Vision
$6,000.00Select
/
Please select the correct zip
Sheldon, Cohen
View All Details
Robert, Mezey
View All Details
Ivan, Espaillat
View All Details
Alicia, Chilito
View All Details
Patricia, Perez-eguizabal
View All Details
Rose, Narvaez
View All Details
Alexis, Martinez Grillo
View All Details
Angelica, Boyer
View All Details
Ultimate Medical Center & Spa Llc
View All Details
Sarahy, Garcia
View All Details
Odlene, Gonzalez
View All Details
Farley, Beltran
View All Details
Patricia, Wyse
View All Details
Lil, Basulto
View All Details
Nosleidy, Ramirez
View All Details
Angelica, Mujica
View All Details
Elizabeth, Crep
View All Details
Juan, Gonzalez
View All Details
Yanniel, Silverio
View All Details
Veronica, Lima
View All Details
Suley, Garcia
View All Details
Sheldon Cohen, M.D.
View All Details
  • Phone Number
    (305) 380-6773
  • Office Locations
    9000 Sw 137th Ave
    Miami, FL 33186
9000 Sw 137th Ave Miami FL, 33186

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).