2018 BlueCare EPO Bronze Plan Details - HealthPocket

BlueCare EPO Bronze


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Zip Code66062
Applicant10/20/1983 Male
Coverage Start10/22/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlueCare EPO Bronze
Plan IDqhp-18558KS0400009
Plan Year2018
Insurance ProviderBlue Cross Blue Shield of Kansas
Metal LevelExpanded Bronze
Plan TypeEPO
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
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
PremiumPlan NameDeductible
from $242
Medica Connect Catastrophic
from $254
Select by Medica Catastrophic
from $289
Select by Medica Catastrophic
from $344
BlueCare EPO Bronze Choice
from $344
BlueCare EPO Bronze

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