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BlueCare EPO Simple Bronze HDHP
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BlueCare EPO Simple Bronze HDHP

Overview
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BlueCare EPO Simple Bronze HDHP is an individual health health plan issued by Blue Cross and Blue Shield of Kansas, Inc. and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Norton county, Kansas.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Blue Cross and Blue Shield of Kansas, Inc.
Plan ID
18558KS0400010
Coverage area
Norton County, Kansas
Phone
Local Phone: 1-785-291-4186
Toll-Free: 1-800-392-7366
TTY: 1-800-430-1270
Plan type
EPO
Coverage type
Medical deductible
$6,500
Out-of-pocket maximum
$6,500
Generic drug co-pay
No Charge after Deductible
Preferred brand drug co-pay
No Charge after Deductible
Primary care physician visit cost
No Charge after Deductible
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit No Charge after Deductible
Specialist Visit No Charge after Deductible
Emergency Room Visit No Charge after Deductible
Inpatient Facility Visit No Charge after Deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs No Charge after Deductible
Preferred Brand Drugs No Charge after Deductible
Non-preferred Brand Drugs No Charge after Deductible
Specialty Drugs No Charge after Deductible
Medical Deductible
Medical Deductible (Individual) $6,500
Medical Maximum Out Of Pocket (Individual) $6,500
Medical Deductible (Family) $13,000
Medical Maximum Out Of Pocket (Family) $13,000
Drug Deductible
Drug Deductible (Individual) Included in Medical
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) Included in Medical
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 249
Premium Child Age 18 297
Premium Adult Individual Age 21 326
Premium Adult Individual Age 27 341
Premium Adult Individual Age 30 370
Premium Adult Individual Age 40 416
Premium Adult Individual Age 50 582
Premium Adult Individual Age 60 884
Premium Couple 21 652
Premium Couple 30 740
Premium Couple 40 833
Premium Couple 50 1,164
Premium Couple 60 1,769
Couple+1 child, Age 21 901
Couple+1 child, Age 30 989
Couple+1 child, Age 40 1,082
Couple+1 child, Age 50 1,414
Couple+2 children, Age 21 1,151
Couple+2 children, Age 30 1,239
Couple+2 children, Age 40 1,332
Couple+2 children, Age 50 1,663
Couple+3 or more Children, Age 21 1,400
Couple+3 or more Children, Age 30 1,488
Couple+3 or more Children, Age 40 1,581
Couple+3 or more Children, Age 50 1,913
Individual+1 child, Age 21 575
Individual+1 child, Age 30 619
Individual+1 child, Age 40 666
Individual+1 child, Age 50 831
Individual+2 children, Age 21 824
Individual+2 children, Age 30 868
Individual+2 children, Age 40 915
Individual+2 children, Age 50 1,081
Individual+3 or more children, Age 21 1,074
Individual+3 or more children, Age 30 1,118
Individual+3 or more children, Age 40 1,165
Individual+3 or more children, Age 50 1,330
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types