2019 BlueCare EPO Bronze Plan Details - HealthPocket

BlueCare EPO Bronze

$299.14/mo

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Zip Code66062
Applicant1/23/1984 Male
Coverage Start1/24/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlueCare EPO Bronze
Plan IDqhp-18558KS0400009
Plan Year2019
Insurance ProviderBlue Cross Blue Shield of Kansas
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$7,150
Out-of-Pocket Maximum$7,150
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$40 Copay
Specialist VisitNo Charge after Deductible
Laboratory Outpatient and Professional ServicesNo Charge after deductible
X-rays and Diagnostic ImagingNo Charge after deductible
Deductible - Family$14300
Out-of-Pocket Maximum - Family$14300

Prescription drug coverage

Generic Drugs$20 Copay
Preferred Brand DrugsNo Charge after Deductible
Non-Preferred Brand DrugsNo Charge after Deductible
Specialty DrugsNo Charge after Deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

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

Maternity

Prenatal and Postnatal CareNo Charge after deductible

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient ServicesNo Charge after deductible

Vision Coverage

Routine Eye Exam for ChildrenNo Charge after deductible
Eye Glasses for ChildrenNo Charge after deductible

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
Private-Duty Nursing
Urgent Care Centers or Facilities
Home Health Care Services
Inpatient Physician and Surgical Services
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
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
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Reconstructive Surgery
More Excluded BenefitsLong-Term/Custodial Nursing Home Care
Bariatric Surgery
Cosmetic Surgery
Skilled Nursing Facility
Hearing Aids
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Nutritional Counseling
PremiumPlan NameDeductible
from $385
BlueCare EPO Bronze Choice
$7,150.00Select
from $385
BlueCare EPO Bronze
$7,150.00Select
from $487
Ambetter Balanced Care 5 (2019)
$7,350.00Select
from $513
Ambetter Balanced Care 4 (2019)
$7,050.00Select
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Please select the correct zip
Irick, Constance
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Mathews, Michael
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Serc Of Olathe; Serc Of Shawnee
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Herrick, Patrick
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Murad, Samah
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Mariani, Anita
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Dailey, Jeffery
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Dieckmann, Andrew
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Mcilvaine, Amanda
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Lollar, Ryan
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Athletico Physical Therapy
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Ashley Lierz Occupational Therapy, P.a.
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Bessery-nichols, Stephanie
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Shawnee Mission Medical Center Inc
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Purkapile, Briana
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Populus Physician Services, L.l.c.
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Sbl Enterprises, Llc
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Constance Irick, M.D.
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  • Phone Number
    (913) 829-8833
  • Office Locations
    15270 W 119th St
    Olathe, KS 66062
15270 W 119th St Olathe KS, 66062

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual 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.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual 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.