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BlueOptions Platinum 1424
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BlueOptions Platinum 1424

Overview
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BlueOptions Platinum 1424 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
16842FL0070110
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
$0
Out-of-pocket maximum
$2,000
Generic drug co-pay
$10
Preferred brand drug co-pay
$40
Primary care physician visit cost
$10
Specialist doctor visit cost
$20
Doctor Visits
Primary Care Visit $10
Specialist Visit $20
Emergency Room Visit $75
Inpatient Facility Visit $350 Copay per Day
Inpatient Physician Visit No Charge
Prescription Drugs
Generic Drugs $10
Preferred Brand Drugs $40
Non-preferred Brand Drugs 30%
Specialty Drugs 50%
Medical Deductible
Medical Deductible (Individual) $0
Medical Maximum Out Of Pocket (Individual) $2,000
Medical Deductible (Family) $0
Medical Maximum Out Of Pocket (Family) $4,000
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 0-14 683
Premium Child Age 18 815
Premium Adult Individual Age 21 893
Premium Adult Individual Age 27 936
Premium Adult Individual Age 30 1,013
Premium Adult Individual Age 40 1,141
Premium Adult Individual Age 50 1,595
Premium Adult Individual Age 60 2,424
Premium Couple 21 1,786
Premium Couple 30 2,027
Premium Couple 40 2,283
Premium Couple 50 3,190
Premium Couple 60 4,848
Couple+1 child, Age 21 2,469
Couple+1 child, Age 30 2,711
Couple+1 child, Age 40 2,966
Couple+1 child, Age 50 3,874
Couple+2 children, Age 21 3,153
Couple+2 children, Age 30 3,394
Couple+2 children, Age 40 3,649
Couple+2 children, Age 50 4,557
Couple+3 or more Children, Age 21 3,836
Couple+3 or more Children, Age 30 4,077
Couple+3 or more Children, Age 40 4,333
Couple+3 or more Children, Age 50 5,240
Individual+1 child, Age 21 1,576
Individual+1 child, Age 30 1,697
Individual+1 child, Age 40 1,824
Individual+1 child, Age 50 2,278
Individual+2 children, Age 21 2,259
Individual+2 children, Age 30 2,380
Individual+2 children, Age 40 2,508
Individual+2 children, Age 50 2,962
Individual+3 or more children, Age 21 2,943
Individual+3 or more children, Age 30 3,063
Individual+3 or more children, Age 40 3,191
Individual+3 or more children, Age 50 3,645
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