Comprehensive Care Blue PPO 500

Individual Health Insurance (Obamacare)

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Comprehensive Care Blue PPO 500

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!Please note this plan is only for the plan year 2015 and it is no longer available for enrollment.GO TO 2017 PLANS

Benefits & Coverage

Plan Name
Comprehensive Care Blue PPO 500
Plan Year
2015
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Highmark
Metal Level
Platinum
Out-of-Pocket Maximum
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness
10% Coinsurance after deductible
Specialist Visit
10% Coinsurance after deductible
Deductible - Family
$1000
Out-of-Pocket Maximum - Family
$3300

Prescription drug coverage

Generic Drugs
$5 Copay
Non-Preferred Brand Drugs
$45 Copay

Access to doctors and hospitals

Provider directory URL
https://provdir.highmarkbcbs.com

Hospital services

Emergency Room Services
10% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)
10% Coinsurance after deductible
Inpatient Physician and Surgical Services
10% Coinsurance after deductible

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

Enter your ZIP Code to see physicians that accepts Comprehensive Care Blue PPO 500 plan in your area.

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Platinum plan frequently asked questions (FAQ)

  • What is the Platinum Plan?

    ObamaCare’s Platinum Plan is a type of Metal Plan on the Health Insurance Marketplace. Platinum Plans qualify for Tax Credits and have the highest premiums. A Platinum Plan is designed to incur the lowest out-of-pocket expenses for enrollees. A typical platinum plan enrollee pays approximately 10% of the costs of covered healthcare services with the plan paying the remainder. In comparison, a typical Bronze Plan enrollee pays 40% of covered medical expenses.

  • How are Platinum 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 Platinum Plan pays 90% of covered medical costs for a typical enrollee while the other Obamacare health plans pay a lower percentage of these costs.

  • How much does a Platinum Plan cost?

    The monthly premium for a Platinum 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 the region in which you live. You can use HealthPocket’s comparison tool to compare Platinum Plan premiums in your area.

  • When Can I Enroll in a Platinum Plan?

    The Open Enrollment period for Affordable Care Act health plans begins November 1, 2015 and continues through January 31, 2016. See our Open Enrollment article for more information.

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