OUR PLANS

Group Care Copay 80/60 $1000J

Plan 118
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Deductible

Out of pocket

Individual Max Out of Pocket

In

$5,250

Out

$10,500

Family Max Out of Pocket

In

$10,500

Out

$21,000

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Coinsurance

Plan pays

In

80%

Out

60%

Subscriber pays

In

20%

Out

40%

Office visits

Primary care physician

In

$40 Copay

Out

40% Coinsurance

Quality Blue Primary Care

In

Not Applicable

Out

Not Applicable

Specialist

In

$55 Copay

Out

40% Coinsurance

Urgent care

In

$55 Copay

Out

40% Coinsurance

Preventative care

In

No Charge

Out

40% Coinsurance

Physical, Speech & Occupational Therapy

In

20% Coinsurance

Out

40% Coinsurance

Mental/Behavioral Outpatient Services

In

$40 Copay / office visit and 20% Coinsurance other outpatient services

Out

40% Coinsurance

If you have a test

Diagnostic test (x-ray, blood work)

In

20% Coinsurance

Out

40% Coinsurance

Imaging (CT/PET scans)

In

20% Coinsurance

Out

40% Coinsurance

Hospitalizations

Inpatient

In

20% Coinsurance

Out

40% Coinsurance

Outpatient

In

20% Coinsurance

Out

40% Coinsurance

Emergency room visits

In

20% Coinsurance

Out

20% Coinsurance

Prescription coverage

Prescription deductible

In

None

Out

None

Tier 1

In

$15 Copay

Out

$15 Copay

Tier 2

In

$40 Copay

Out

$40 Copay

Tier 3

In

$70 Copay

Out

$70 Copay

Tier 4

In

10% Coinsurance up to $150 per prescription

Out

10% Coinsurance up to $150 per prescription

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APHT Plans

Premier Blue Copay 80/60 $1000F 

Plan 42
$1,000 | $2,000
Deductible
$4,750 | $9,500
Out-of-Pocket Max
Learn More

Group Care Copay 80/60 $1500L 

Plan 156
$1,500 | $3,000
Deductible
$6,350 | $12,700
Out-of-Pocket Max
Learn More

Premier Blue Copay 80/60 $2000A 

Plan 49
$2,000 | $4,000
Deductible
$5,750 | $11,500
Out-of-Pocket Max
Learn More

Blue Saver 80/60 $3000 

Plan 11
$3,000 | $6,000
Deductible
$5,000 | $10,000
Out-of-Pocket Max
Learn More

Group Care Copay 70/50 $3500F 

Plan 198
$3,500 | $7,000
Deductible
$10,500 | $21,000
Out-of-Pocket Max
Learn More