Blue EverydayHealth Bronze (2 Free Primary Care In-Person/Virtu Plan Details for 2021- HealthPocket
Close ×

Blue EverydayHealth Bronze (2 Free Primary Care In-Person/Virtu

$267.16/mo
View BrochureSummary of BenefitsProvider Directory

Apply For This Plan

Zip Code85364
Applicant6/29/1987 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue EverydayHealth Bronze (2 Free Primary Care In-Person/Virtu
Plan IDhhs-53901AZ1420065
Plan Year2021
Insurance ProviderBlue Cross Blue Shield of Arizona
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$7,000
Out-of-Pocket Maximum$8,550
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$40 Copay
Specialist Visit$150 Copay
Laboratory Outpatient and Professional Services50.00% Coinsurance after deductible
X-rays and Diagnostic Imaging50.00% Coinsurance after deductible
Diagnostic Imaging such as MRIs, CT, and PET scans50.00% Coinsurance after deductible
Deductible - Family$14000 per group
Out-of-Pocket Maximum - Family$17100 per group

Prescription drug coverage

Generic Drugs$20 Copay
Preferred Brand Drugs$200 Copay after deductible
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance

Access to doctors and hospitals

Provider directory URLhttps://www.azblue.com/individualsandfamilies/find-a-doctor
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Yes - You must select a network PCP and notify BCBSAZ of your selection. PCP referral required for all Specialists except OB/GYN, Chiropractors, Outpatient Behavioral Health providers, Physical Therapy, Occupational Therapy, Speech Therapy, Cognitive Therapy (PT, OT, ST, CT) and Cardiac and Pulmonary Rehabilitative and Habilitative Services, Pediatric Dental and Vision services, Telehealth and Urgent Care services, Walk-in Clinics, and Emergency services.
Does this plan cover services outside plan service area?Yes - Emergencies, Urgent Care and Authorized Follow-up Care. Urgent Care and Authorized Follow-up Care covered only through contracted providers.
Does this plan cover services outside the country?Yes - Emergencies Only. Authorization required for non-emergent services.

Hospital services

Emergency Room Services50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services50.00% Coinsurance after deductible
Emergency Transportation or Ambulance Service50.00% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care$150 Copay
Delivery and all inpatient services for maternity care50.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient Services$150 Copay
Mental/Behavioral Health Inpatient Services50.00% Coinsurance after deductible
Substance use disorder outpatient services$150 Copay
Substance use disorder inpatient services50.00% Coinsurance after deductible

Medical Management Programs

Does this plan offer a wellness program?Not Covered

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 CareIncluded
Child Dental Coverage - Basic Dental CareIncluded
Child Dental Coverage - OrthodontiaIncluded
Child Dental Coverage - Major Dental CareIncluded

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)
Bariatric Surgery
Private-Duty Nursing
Imaging (CT/PET Scans, MRIs)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Durable Medical Equipment
Hospice Services
Accidental Dental
Allergy Testing
Chemotherapy
Diabetes Education
Dialysis
Infusion Therapy
Laboratory Outpatient and Professional Services
Nutritional Counseling
Prosthetic Devices
Radiation
Reconstructive Surgery
Transplant
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
More Limited BenefitsPreventive Care/Screening/Immunization
Skilled Nursing Facility
Hearing Aids
Home Health Care Services
Outpatient Rehabilitation Services
Habilitation Services
Dental Check-Up for Children
Chiropractic Care
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Cosmetic Surgery
Infertility Treatment
Long Term Care
Weight Loss Programs
Routine Foot Care
Dental Care - Adult
Abortion for Which Public Funding is Prohibited
Long-Term/Custodial Nursing Home Care
PremiumPlan NameDeductible
from $298Medica Pinnacle Bronze Copay ($0 Virtual Care + Online Wellness)$7,200.00Select
from $316Oscar Bronze Classic ($3 Prescription List + Free 24/7 Virtual$7,000.00Select
from $320UHC Bronze-X Value+ Saver ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits)$7,000.00Select
from $332Cigna Connect 7000$7,000.00Select
from $355Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental$6,900.00Select
/
Please select the correct zip
Rajesh, Khona
View All Details
Kita, Patel
View All Details
William, Shea
View All Details
Timothy, Graham
View All Details
Jay, Eldridge
View All Details
Donald, Runyan
View All Details
Shawn, Hermenau
View All Details
Sw Rehab
View All Details
Nicolas, Santos
View All Details
Nnabuikem, Anaba
View All Details
Kailey, Rote
View All Details
Joseph, Sanchez
View All Details
Michael, Mccullagh
View All Details
Zachary, Parkinson
View All Details
Shanti Anesthesiology, Pllc
View All Details
Nafisah, Naqvi
View All Details
Stephanie, Clark
View All Details
Mina, Tawadrous
View All Details
Lee, Barnwell
View All Details
Marjorie, Bacon
View All Details
Jennifer, Mccumbee
View All Details
James, Lavin
View All Details
Kemell Health Llc
View All Details
Southwestern Palliative Care Associates Plc
View All Details
Rajesh Khona, M.D.
View All Details
  • Phone Number
    (602) 273-6770
  • Office Locations
    2400 S Avenue A
    Yuma, AZ 85364
2400 S Avenue A Yuma AZ, 85364

Need an affordable alternative?

Are ACA plans too expensive for your budget? Consider Health
Benefit Indemnity Insurance through AgileHealthInsurance.comSee Plans Now!

HealthPocket.com is a free information source. 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. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. 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.com is a free information source. 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. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.

You are leaving HealthPocket

Quotes are provided by our partner. You are now leaving our site.

CancelLeave