Blue Option Bronze 6500 Plan Details for 2020- HealthPocket

Apply For This Plan

Zip Code29223
Applicant10/24/1985 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue Option Bronze 6500
Plan IDhhs-49532SC0380035
Plan Year2020
Insurance ProviderBlueChoice HealthPlan
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$6,500
Out-of-Pocket Maximum$8,150
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$40 Copay
Specialist Visit$90 Copay
Laboratory Outpatient and Professional Services$500 Copay with deductible, 20.00% Coinsurance after deductible. See plan brochure for when Copay is applicable.
X-rays and Diagnostic Imaging$500 Copay with deductible, 20.00% Coinsurance after deductible. See plan brochure for when Copay is applicable.
Diagnostic Imaging such as MRIs, CT, and PET scans20.00% Coinsurance after deductible
Deductible - Family$13000 per group
Out-of-Pocket Maximum - Family$16300 per group

Prescription drug coverage

Generic Drugs$35 Copay
Preferred Brand Drugs20.00% Coinsurance after deductible
Non-Preferred Brand Drugs20.00% Coinsurance after deductible
Specialty Drugs20.00% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttp://www.bluechoicesc.com/doctorhospitalfinder.aspx
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Not Covered
Does this plan cover services outside plan service area?Yes - Emergency care and urgent care obtained outside the geographic areas we serve. Any other services will not be covered when processed through any Inter-Plan Programs arrangements. These "other services" must be provided or Authorized by your primary care physician ("PCP").
Does this plan cover services outside the country?Yes - Emergency care and urgent care obtained outside the geographic areas we serve. Any other services will not be covered when processed through any Inter-Plan Programs arrangements. These "other services" must be provided or Authorized by your primary care physician ("PCP").

Hospital services

Emergency Room Services$500 Copay with deductible, 20.00% Coinsurance after deductible. See plan brochure for when Copay is applicable.
Inpatient Hospital Services (e.g., Hospital Stay)$500 Copay per Stay with deductible, 20.00% Coinsurance after deductible. See plan brochure for when Copay is applicable.
Inpatient Physician and Surgical Services20.00% Coinsurance after deductible
Emergency Transportation or Ambulance Service20.00% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care$90 Copay
Delivery and all inpatient services for maternity care$500 Copay with deductible, 20.00% Coinsurance after deductible. See plan brochure for when Copay is applicable.

Mental Health

Mental/Behavioral Health Outpatient Services20.00% Coinsurance after deductible
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible
Substance use disorder outpatient services20.00% Coinsurance after deductible
Substance use disorder inpatient services20.00% Coinsurance after deductible

Medical Management Programs

Does this plan offer disease managment programs?Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy
Does this plan offer a wellness program?Included

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 CareNot Covered
Child Dental Coverage - Basic Dental CareNot Covered
Child Dental Coverage - OrthodontiaNot Covered
Child Dental Coverage - Major Dental CareNot Covered

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
Chiropractic Care
Accidental Dental
Chemotherapy
Diabetes Education
Dialysis
Laboratory Outpatient and Professional Services
Nutritional Counseling
Radiation
Reconstructive Surgery
Transplant
Well Baby Visits and Care
Doctor's Care Facilities
Freestanding Ambulatory Surgery Centers
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
More Limited BenefitsSkilled Nursing Facility
Home Health Care Services
Outpatient Rehabilitation Services
Habilitation Services
Hospice Services
Prosthetic Devices
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Infertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Weight Loss Programs
Dental Check-Up for Children
Routine Foot Care
Abortion for Which Public Funding is Prohibited
Allergy Testing
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
PremiumPlan NameDeductible
from $283
BlueEssentials Bronze 4
$6,400.00Select
from $290
BlueEssentials HD Bronze 2
$6,300.00Select
from $366
BlueEssentials Bronze 4
$6,400.00Select
from $369
Ambetter Balanced Care 12 (2020)
$6,500.00Select
from $373
BlueEssentials Silver 35
$6,600.00Select
/
Please select the correct zip
Total Rehab Services, Pa
View All Details
James, Elmore
View All Details
Michael, Magee
View All Details
Sara, Bell
View All Details
Jeffrey, Hook
View All Details
Ramona Mack Dba Universal Lang. Center
View All Details
Kevin, Krebs
View All Details
Forefront-brandt Medical Services Pc
View All Details
Stephanie, Smith
View All Details
Courtney, Louallen
View All Details
Meredith, Brooks
View All Details
Eboni, Copeland
View All Details
Claudia, Smith
View All Details
Margaret, Mckinney
View All Details
Crocodile Pharmacy Services, Llc
View All Details
Tara, Henderson
View All Details
Benjamen, Ashton
View All Details
T&s Wellness Llc
View All Details
Carolina Family Wellness Clinic, Llc
View All Details
Shevonda, Evans
View All Details
Michael, Weymers
View All Details
Total Rehab Services, Pa
View All Details
  • Phone Number
    (803) 736-5540
  • Office Locations
    9600 Two Notch Rd
    Columbia, SC 29223
9600 Two Notch Rd Columbia SC, 29223

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 Benefytt Technologies, Inc. family of companies.

Health Plans Found

 

HealthPocket.com provides information on insurance products. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. Always review the privacy and terms of use of the partner website.

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 Benefytt Technologies, Inc. family of companies.