Blue Advantage Gold 3000 (broad network) Plan Details for 2020- HealthPocket

Blue Advantage Gold 3000 (broad network)

$545.16/mo

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Zip Code28269
Applicant2/22/1985 Male
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue Advantage Gold 3000 (broad network)
Plan IDqhp-11512NC0060018
Plan Year2020
Insurance ProviderBlue Cross Blue Shield of North Carolina
Metal LevelGold
Plan TypePPO
Deductible$3,000
Out-of-Pocket Maximum$8,150
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$5 Copay
Specialist Visit$30 Copay
Laboratory Outpatient and Professional ServicesNo Charge
X-rays and Diagnostic ImagingNo Charge
Deductible - Family$6000
Out-of-Pocket Maximum - Family$16300

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 URLhttps://healthnav.bcbsnc.com/?ci=COMMERCIAL&network_id=3

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

Maternity

Prenatal and Postnatal Care20.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNo Charge

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
Infertility Treatment
Durable Medical Equipment
Hearing Aids
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Routine Foot Care
Dental Check-Up for Children
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Nutritional Counseling
Reconstructive Surgery
Private-Duty Nursing
Urgent Care Centers or Facilities
Home Health Care Services
Inpatient Physician and Surgical Services
Bariatric Surgery
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Non-Emergency Care When Traveling Outside of the U.S.
Dental Anesthesia
Diabetes Care Management
Clinical Trials
Congenital Anomaly, including Cleft Lip/Palate
Tier 2 Rx
Tier 6 Rx
Prenatal and Postnatal Care - Non-Global Maternity
More Excluded BenefitsLong-Term/Custodial Nursing Home Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Prosthetic Devices
Cosmetic Surgery
Off-label Prescription Drugs
PremiumPlan NameDeductible
from $359
Blue Home Gold 3000 (local network with UNC Health Alliance)
$3,000.00Select
from $381
Blue Local Gold 3000 (local network with Wake Forest Baptist Health)
$3,000.00Select
from $439
Blue Local Gold 3000 (local network with Atrium Health)
$3,000.00Select
from $449
Ambetter Balanced Care 15 (2020)
$2,950.00Select
from $481
Blue Value Gold 3000 (limited network)
$3,000.00Select
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  • Phone Number
    (704) 863-9830
  • Office Locations
    5727 Prosperity Crossing Drive
    Charlotte, NC 28269
5727 Prosperity Crossing Drive 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, 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).