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BlueOptions Platinum 1418
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BlueOptions Platinum 1418

Overview
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BlueOptions Platinum 1418 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
16842FL0070102
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
$1,000
Out-of-pocket maximum
$3,500
Generic drug co-pay
$15
Preferred brand drug co-pay
$45
Primary care physician visit cost
$15
Specialist doctor visit cost
$40
Doctor Visits
Primary Care Visit $15
Specialist Visit $40
Emergency Room Visit 10% Coinsurance after deductible
Inpatient Facility Visit 10% Coinsurance after deductible
Inpatient Physician Visit No Charge
Prescription Drugs
Generic Drugs $15
Preferred Brand Drugs $45
Non-preferred Brand Drugs 30%
Specialty Drugs 50%
Medical Deductible
Medical Deductible (Individual) $1,000
Medical Maximum Out Of Pocket (Individual) $3,500
Medical Deductible (Family) $2,000
Medical Maximum Out Of Pocket (Family) $7,000
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 0-14 650
Premium Child Age 18 775
Premium Adult Individual Age 21 849
Premium Adult Individual Age 27 890
Premium Adult Individual Age 30 964
Premium Adult Individual Age 40 1,085
Premium Adult Individual Age 50 1,517
Premium Adult Individual Age 60 2,306
Premium Couple 21 1,699
Premium Couple 30 1,928
Premium Couple 40 2,171
Premium Couple 50 3,035
Premium Couple 60 4,612
Couple+1 child, Age 21 2,349
Couple+1 child, Age 30 2,578
Couple+1 child, Age 40 2,821
Couple+1 child, Age 50 3,685
Couple+2 children, Age 21 2,999
Couple+2 children, Age 30 3,228
Couple+2 children, Age 40 3,471
Couple+2 children, Age 50 4,335
Couple+3 or more Children, Age 21 3,649
Couple+3 or more Children, Age 30 3,879
Couple+3 or more Children, Age 40 4,122
Couple+3 or more Children, Age 50 4,985
Individual+1 child, Age 21 1,499
Individual+1 child, Age 30 1,614
Individual+1 child, Age 40 1,735
Individual+1 child, Age 50 2,167
Individual+2 children, Age 21 2,149
Individual+2 children, Age 30 2,264
Individual+2 children, Age 40 2,386
Individual+2 children, Age 50 2,817
Individual+3 or more children, Age 21 2,799
Individual+3 or more children, Age 30 2,914
Individual+3 or more children, Age 40 3,036
Individual+3 or more children, Age 50 3,467
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