BlueSelect Bronze 1737S Plan Details for 2020- HealthPocket

Apply For This Plan

Zip Code33186
Applicant1/23/1985 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlueSelect Bronze 1737S
Plan IDqhp-16842FL0120082
Plan Year2020
Insurance ProviderBlue Cross Blue Shield of Florida
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$6,650
Out-of-Pocket Maximum$8,150
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$35 Copay
Specialist Visit$75 Copay
Laboratory Outpatient and Professional ServicesNot Applicable
X-rays and Diagnostic Imaging40% Coinsurance after deductible
Deductible - Family$13300
Out-of-Pocket Maximum - Family$16300

Prescription drug coverage

Generic Drugs$35 Copay
Preferred Brand Drugs40% Coinsurance after deductible
Non-Preferred Brand Drugs40% Coinsurance after deductible
Specialty Drugs45% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://providersearch.floridablue.com/providersearch/pub/marketplace.htm

Hospital services

Emergency Room Services40% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Inpatient Physician and Surgical Services40% Coinsurance after deductible

Maternity

Prenatal and Postnatal CareNot Applicable

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient Services40.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNot Applicable

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Urgent Care Centers or Facilities
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 $252
Ambetter Essential Care 2 HSA (2020)
$6,750.00Select
from $265
Gym Access IND Bronze Standardized HMO
$6,650.00Select
from $273
Cigna Connect 6500
$6,500.00Select
from $296
myBlue Bronze 1711S
$6,650.00Select
from $307
Bronze HSA
$6,850.00Select
/
Please select the correct zip
Sheldon, Cohen
View All Details
Robert, Mezey
View All Details
Ivan, Espaillat
View All Details
Maura, Cintas
View All Details
Milton A Jimenez Md Pa
View All Details
Delores Macksoud Md Pa
View All Details
Salman, Virani
View All Details
Katerina, Martinez
View All Details
Christina, Eriksen
View All Details
Daniella, Eiroa
View All Details
Juliana, Cardona
View All Details
Camila, Monje
View All Details
Ivan R Rodriguez Md Pa
View All Details
Lauren, Cami
View All Details
Sara, Montoya
View All Details
Deena, Cilien
View All Details
Elite Core Therapy, Llc
View All Details
Natasha, Muniz
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
Yanelle, Del Valle
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).