my Direct Blue Major Events EPO 8150 - 3 Free PCP Visits Plan Details for 2020- HealthPocket

ZIP Code
County
Applicant Info
Applicant
Date of birth
//
Gender
male
female
Income
$

Apply For This Plan

Zip Code	19120 (edit)
Applicant	2/19/1985 Male (edit)

Apply Now

Insurance Type	ACA (Obamacare)
Plan Name	my Direct Blue Major Events EPO 8150 - 3 Free PCP Visits
Plan ID	qhp-33709PA1040001
Plan Year	2020
Insurance Provider	Highmark
Metal Level	Catastrophic
Plan Type	EPO
Deductible	$8,150
Out-of-Pocket Maximum	$8,150
Plan Highlights

Costs for Medical Care
Primary Care Visit to Treat an Injury or Illness	No Charge after Deductible
Specialist Visit	No Charge after Deductible
Laboratory Outpatient and Professional Services	No Charge after deductible
X-rays and Diagnostic Imaging	No Charge after deductible
Deductible - Family	$16300
Out-of-Pocket Maximum - Family	$16300

Prescription drug coverage
Generic Drugs	No Charge after Deductible
Preferred Brand Drugs	No Charge after Deductible
Non-Preferred Brand Drugs	No Charge after Deductible
Specialty Drugs	No Charge after Deductible

Access to doctors and hospitals
Provider directory URL	https://www.highmarkbcbs.com/find-a-doctor/#/home

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

Maternity
Prenatal and Postnatal Care	No Charge after deductible

Mental Health
Mental/Behavioral Health Outpatient Services	No Charge after deductible
Mental/Behavioral Health Inpatient Services	No Charge after deductible

Vision Coverage
Routine Eye Exam for Children	No Charge after deductible
Eye Glasses for Children	No Charge after deductible

Exclusions and Limitations
More Included Benefits	Other Practitioner Office Visit (Nurse, Physician Assistant) Outpatient Facility Fee (e.g., Ambulatory Surgery Center) Outpatient Surgery Physician/Surgical Services Hospice Services Infertility Treatment 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 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 Prosthetic Devices Infusion Therapy Treatment for Temporomandibular Joint Disorders Nutritional Counseling Reconstructive Surgery Diabetes Care Management Inherited Metabolic Disorder - PKU Dental Anesthesia
More Excluded Benefits	Long-Term/Custodial Nursing Home Care Private-Duty Nursing Bariatric Surgery Cosmetic Surgery Hearing Aids Routine Foot Care Acupuncture Weight Loss Programs Abortion for Which Public Funding is Prohibited

Exclusions and Limitations

More Included Benefits

Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Infertility Treatment
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
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
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Nutritional Counseling
Reconstructive Surgery
Diabetes Care Management
Inherited Metabolic Disorder - PKU
Dental Anesthesia

More Excluded Benefits

Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Routine Foot Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited

+ See All Coverage Details

Premium

Plan Name

Deductible

from $156

Together Blue Major Events EPO 8150 - 3 Free PCP Visits

$8,150.00

Select

from $167

my Direct Blue Erie Major Events HMO 8150 - 3 Free PCP Visits

$8,150.00

Select

from $180

UPMC Advantage Catastrophic $8,150/$0 - Partner Network

$8,150.00

Select

from $190

UPMC Advantage Catastrophic $8,150/$0 - Select Network

$8,150.00

Select

from $191

Together Blue Major Events EPO 8150 - 3 Free PCP Visits

$8,150.00

Select

Last Name

Location/Distance

Please select the correct zip

Kenneth, Nguyen

my Direct Blue Major Events EPO 8150 - 3 Free PCP Visits

Apply For This Plan

Benefits & Coverage

Costs for Medical Care

Prescription drug coverage

Access to doctors and hospitals

Hospital services

Maternity

Mental Health

Vision Coverage

Exclusions and Limitations

Similar Plans

Physician Finder

Related Articles

Related Searches

Catastrohpic plan frequently asked questions (FAQ)

What is the Catastrophic Plan?

How are Catastrophic Plans different than other Obamacare health plans?

How much does a Catastrophic Plan cost?

Apply For This Plan

Health Plans Found