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BlueSelect Gold HealthPlus
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BlueSelect Gold HealthPlus

Overview
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BlueSelect Gold HealthPlus is an individual health health plan issued by Blue Cross Blue Shield of Wyoming 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 Weston county, Wyoming.

What Type of Health Plan Is This?

This plan is a PPO plan, which is also known as a "Preferred Provider Organization." In this type of insurance plan, you can choose to receive care from doctors, hospitals, and other providers who are in-network or out-of-network. You pay less if you use in-network providers. In a PPO plan, you can visit any doctor without getting a referral.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Blue Cross Blue Shield of Wyoming
Plan ID
11269WY0070013
Coverage area
Weston County, Wyoming
Phone
Local Phone: 1-307-634-1393x2949
Toll-Free: 1-800-851-2227
TTY: 1-800-696-4710
Plan type
PPO
Coverage type
Medical deductible
$1,000
Out-of-pocket maximum
$7,900
Generic drug co-pay
$5
Preferred brand drug co-pay
$20
Primary care physician visit cost
$30 and 20% Coinsurance after deductible
Specialist doctor visit cost
20% Coinsurance after deductible
Doctor Visits
Primary Care Visit $30 and 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
Emergency Room Visit 20% Coinsurance after deductible
Inpatient Facility Visit 20% Coinsurance after deductible
Inpatient Physician Visit 20% Coinsurance after deductible
Prescription Drugs
Generic Drugs $5
Preferred Brand Drugs $20
Non-preferred Brand Drugs 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $1,000
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $2,000
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 0-14 453
Premium Child Age 18 540
Premium Adult Individual Age 21 592
Premium Adult Individual Age 27 620
Premium Adult Individual Age 30 672
Premium Adult Individual Age 40 757
Premium Adult Individual Age 50 1,058
Premium Adult Individual Age 60 1,607
Premium Couple 21 1,184
Premium Couple 30 1,344
Premium Couple 40 1,514
Premium Couple 50 2,116
Premium Couple 60 3,215
Couple+1 child, Age 21 1,638
Couple+1 child, Age 30 1,798
Couple+1 child, Age 40 1,967
Couple+1 child, Age 50 2,569
Couple+2 children, Age 21 2,091
Couple+2 children, Age 30 2,251
Couple+2 children, Age 40 2,420
Couple+2 children, Age 50 3,022
Couple+3 or more Children, Age 21 2,544
Couple+3 or more Children, Age 30 2,704
Couple+3 or more Children, Age 40 2,873
Couple+3 or more Children, Age 50 3,475
Individual+1 child, Age 21 1,045
Individual+1 child, Age 30 1,125
Individual+1 child, Age 40 1,210
Individual+1 child, Age 50 1,511
Individual+2 children, Age 21 1,498
Individual+2 children, Age 30 1,578
Individual+2 children, Age 40 1,663
Individual+2 children, Age 50 1,964
Individual+3 or more children, Age 21 1,952
Individual+3 or more children, Age 30 2,032
Individual+3 or more children, Age 40 2,116
Individual+3 or more children, Age 50 2,417
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