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BlueOptions Gold 1805
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BlueOptions Gold 1805

Overview
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BlueOptions Gold 1805 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
16842FL0070130
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
$2,000
Out-of-pocket maximum
$5,500
Generic drug co-pay
$20
Preferred brand drug co-pay
$65
Primary care physician visit cost
$40
Specialist doctor visit cost
$75
Doctor Visits
Primary Care Visit $40
Specialist Visit $75
Emergency Room Visit $450
Inpatient Facility Visit 20% Coinsurance after deductible
Inpatient Physician Visit No Charge
Prescription Drugs
Generic Drugs $20
Preferred Brand Drugs $65
Non-preferred Brand Drugs 50%
Specialty Drugs 50%
Medical Deductible
Medical Deductible (Individual) $2,000
Medical Maximum Out Of Pocket (Individual) $5,500
Medical Deductible (Family) $4,000
Medical Maximum Out Of Pocket (Family) $11,000
Drug Deductible
Drug Deductible (Individual) $0
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $0
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 505
Premium Child Age 18 602
Premium Adult Individual Age 21 660
Premium Adult Individual Age 27 692
Premium Adult Individual Age 30 749
Premium Adult Individual Age 40 844
Premium Adult Individual Age 50 1,179
Premium Adult Individual Age 60 1,792
Premium Couple 21 1,320
Premium Couple 30 1,499
Premium Couple 40 1,688
Premium Couple 50 2,359
Premium Couple 60 3,584
Couple+1 child, Age 21 1,826
Couple+1 child, Age 30 2,004
Couple+1 child, Age 40 2,193
Couple+1 child, Age 50 2,864
Couple+2 children, Age 21 2,331
Couple+2 children, Age 30 2,509
Couple+2 children, Age 40 2,698
Couple+2 children, Age 50 3,369
Couple+3 or more Children, Age 21 2,836
Couple+3 or more Children, Age 30 3,014
Couple+3 or more Children, Age 40 3,203
Couple+3 or more Children, Age 50 3,874
Individual+1 child, Age 21 1,165
Individual+1 child, Age 30 1,254
Individual+1 child, Age 40 1,349
Individual+1 child, Age 50 1,684
Individual+2 children, Age 21 1,670
Individual+2 children, Age 30 1,760
Individual+2 children, Age 40 1,854
Individual+2 children, Age 50 2,190
Individual+3 or more children, Age 21 2,176
Individual+3 or more children, Age 30 2,265
Individual+3 or more children, Age 40 2,359
Individual+3 or more children, Age 50 2,695
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