2018 Blue Preferred Gold PPO 204 - Two $10 PCP Visits Plan Details - HealthPocket

Blue Preferred Gold PPO 204 - Two $10 PCP Visits


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Zip Code59102
Applicant10/15/1983 Male
Coverage Start10/17/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue Preferred Gold PPO 204 - Two $10 PCP Visits
Plan IDqhp-30751MT0550045
Plan Year2018
Insurance ProviderBlueCross BlueShield of Montana
Metal LevelGold
Plan TypePPO
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness30% Coinsurance after deductible
Specialist Visit30% Coinsurance after deductible
Deductible - Family$900
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$5 Copay
Preferred Brand Drugs$50 Copay
Non-Preferred Brand Drugs$100 Copay
Specialty Drugs$250 Copay

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30% Coinsurance after deductible
Inpatient Physician and Surgical Services30% Coinsurance after deductible
PremiumPlan NameDeductible
from $486
Blue Preferred Gold PPO204 - Two $10 PCP Visits
from $594
Blue Preferred Gold PPO204 - Two $10 PCP Visits
from $647
Blue Preferred Gold PPO 204 - Two $10 PCP Visits
  • 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.

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