2019 my Direct Blue EPO 7000B Plan Details - HealthPocket

my Direct Blue EPO 7000B

$386.72/mo

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Zip Code19120
Applicant10/13/1984 Male
Coverage Start10/14/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan Namemy Direct Blue EPO 7000B
Plan IDqhp-70194PA0530006
Plan Year2019
Insurance ProviderHighmark
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$7,000
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$60 Copay
Specialist Visit$100 Copay
Deductible - Family$14000
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs15% Coinsurance after deductible
Preferred Brand Drugs25% Coinsurance after deductible
Non-Preferred Brand Drugs35% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.highmarkblueshield.com/find-a-doctor/#/home

Hospital services

Emergency Room Services30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30% Coinsurance after deductible
Inpatient Physician and Surgical Services30% Coinsurance after deductible
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UPMC Advantage Inside Advantage for Individuals Bronze $6,950/$35 - Premium Network
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UPMC Advantage Bronze $6,950/$35 - Partner Network
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UPMC Advantage Bronze $6,950/$35 - Select Network
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  • Phone Number
    (215) 324-2180
  • Office Locations
    448 E Wyoming Ave
    Philadelphia, PA 19120
448 E Wyoming Ave Philadelphia PA, 19120

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).

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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).