2019 Blue Focus Gold POS 207 Plan Details - HealthPocket

Blue Focus Gold POS 207

$390.79/mo

Apply For This Plan

Zip Code59102
Applicant1/18/1984 Male
Coverage Start1/19/2019
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue Focus Gold POS 207
Plan IDqhp-30751MT0650009
Plan Year2019
Insurance ProviderBlueCross BlueShield of Montana
Metal LevelGold
Plan TypeHMO
Deductible$0
Out-of-Pocket Maximum$7,900
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness20% Coinsurance after deductible
Specialist Visit40% Coinsurance after deductible
Laboratory Outpatient and Professional Services40.00%
X-rays and Diagnostic Imaging40.00%
Deductible - Family$0
Out-of-Pocket Maximum - Family$15800

Prescription drug coverage

Generic Drugs10% Coinsurance after deductible
Preferred Brand Drugs30% Coinsurance after deductible
Non-Preferred Brand Drugs35% Coinsurance after deductible
Specialty Drugs45% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services$1000 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$850 Copay
Inpatient Physician and Surgical Services40% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care20.00%

Mental Health

Mental/Behavioral Health Outpatient Services20.00%
Mental/Behavioral Health Inpatient Services40.00%

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for Children40.00%

Exclusions and Limitations

More Included BenefitsOutpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Acupuncture
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
Well Baby Visits and Care
Inpatient Physician and Surgical Services
Cosmetic Surgery
Skilled Nursing Facility
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Accidental Dental
Transplant
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Nutritional Counseling
Reconstructive Surgery
Prescription Drugs Other
More Excluded BenefitsHearing Aids
Routine Foot Care
Weight Loss Programs
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Dental Check-Up for Children
Abortion for Which Public Funding is Prohibited
Treatment for Temporomandibular Joint Disorders
PremiumPlan NameDeductible
from $546
Blue Focus Gold POS 207
$0.00Select
/
Please select the correct zip
Myers, David
View All Details
Phillips, William
View All Details
Marchello, Benjamin
View All Details
Fiddler, Troy
View All Details
Seu, Philip
View All Details
Brown, Jonalyn
View All Details
My H Earing Centers
View All Details
Potter, Jessica
View All Details
Reinhardt, Shari
View All Details
Hunter, Katherine
View All Details
Rocky Mountain Sports Medicine
View All Details
Mcmillan, Cameron
View All Details
Schneider, Ian
View All Details
Buffington, Kyle
View All Details
Nelson, Ashley
View All Details
Schmidt, Keenan
View All Details
Chase, Cal
View All Details
Camp, Jessica
View All Details
Griffel, Ethan
View All Details
Salazar, Christina
View All Details
Hosking, Seth
View All Details
Crowder, Emili
View All Details
David Myers, M.D.
View All Details
  • Phone Number
    (406) 656-8385
  • Office Locations
    1903 Camden Dr
    Billings, MT 59102
1903 Camden Dr Billings MT, 59102
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

Read More

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.

Close

Health Plans Found

 

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.