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BlueOptions Bronze 1416
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BlueOptions Bronze 1416

Overview
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BlueOptions Bronze 1416 is an individual health health plan issued by Blue Cross and Blue Shield of Florida 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 Palm Beach county, Florida.

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 Florida
Plan ID
16842FL0070108
Coverage area
Palm Beach County, Florida
Phone
Local Phone: 1-800-352-2583
Toll-Free: 1-800-352-2583
TTY: 1-800-955-8771
Plan type
EPO
Coverage type
Medical deductible
$6,200
Out-of-pocket maximum
$7,900
Generic drug co-pay
$24
Preferred brand drug co-pay
50% Coinsurance after deductible
Primary care physician visit cost
$35
Specialist doctor visit cost
$65
Doctor Visits
Primary Care Visit $35
Specialist Visit $65
Emergency Room Visit 50% Coinsurance after deductible
Inpatient Facility Visit $100 Copay per Stay after deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs $24
Preferred Brand Drugs 50% Coinsurance after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $6,200
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $12,400
Medical Maximum Out Of Pocket (Family) $15,800
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 0-14 357
Premium Child Age 18 426
Premium Adult Individual Age 21 467
Premium Adult Individual Age 27 489
Premium Adult Individual Age 30 530
Premium Adult Individual Age 40 597
Premium Adult Individual Age 50 834
Premium Adult Individual Age 60 1,268
Premium Couple 21 935
Premium Couple 30 1,061
Premium Couple 40 1,194
Premium Couple 50 1,669
Premium Couple 60 2,537
Couple+1 child, Age 21 1,292
Couple+1 child, Age 30 1,418
Couple+1 child, Age 40 1,552
Couple+1 child, Age 50 2,027
Couple+2 children, Age 21 1,650
Couple+2 children, Age 30 1,776
Couple+2 children, Age 40 1,910
Couple+2 children, Age 50 2,385
Couple+3 or more Children, Age 21 2,007
Couple+3 or more Children, Age 30 2,134
Couple+3 or more Children, Age 40 2,267
Couple+3 or more Children, Age 50 2,742
Individual+1 child, Age 21 825
Individual+1 child, Age 30 888
Individual+1 child, Age 40 955
Individual+1 child, Age 50 1,192
Individual+2 children, Age 21 1,182
Individual+2 children, Age 30 1,245
Individual+2 children, Age 40 1,312
Individual+2 children, Age 50 1,550
Individual+3 or more children, Age 21 1,540
Individual+3 or more children, Age 30 1,603
Individual+3 or more children, Age 40 1,670
Individual+3 or more children, Age 50 1,907
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