Share
Medicine Status
BlueSelect Silver Balance
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

BlueSelect Silver Balance

Overview
Back to Top

BlueSelect Silver Balance 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 Uinta 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
Back to Top
Issuer
Blue Cross Blue Shield of Wyoming
Plan ID
11269WY0070023
Coverage area
Uinta 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
$6,000
Out-of-pocket maximum
$7,900
Generic drug co-pay
$5
Preferred brand drug co-pay
$100
Primary care physician visit cost
$40 and 25% Coinsurance after deductible
Specialist doctor visit cost
25% Coinsurance after deductible
Doctor Visits
Primary Care Visit $40 and 25% Coinsurance after deductible
Specialist Visit 25% Coinsurance after deductible
Emergency Room Visit $1000 Copay with deductible and 45% Coinsurance after deductible
Inpatient Facility Visit 45% Coinsurance after deductible
Inpatient Physician Visit 25% Coinsurance after deductible
Prescription Drugs
Generic Drugs $5
Preferred Brand Drugs $100
Non-preferred Brand Drugs 25% Coinsurance after deductible
Specialty Drugs 25% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $6,000
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $12,000
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 0-14 518
Premium Child Age 18 619
Premium Adult Individual Age 21 678
Premium Adult Individual Age 27 710
Premium Adult Individual Age 30 769
Premium Adult Individual Age 40 866
Premium Adult Individual Age 50 1,211
Premium Adult Individual Age 60 1,840
Premium Couple 21 1,356
Premium Couple 30 1,539
Premium Couple 40 1,733
Premium Couple 50 2,422
Premium Couple 60 3,681
Couple+1 child, Age 21 1,875
Couple+1 child, Age 30 2,058
Couple+1 child, Age 40 2,252
Couple+1 child, Age 50 2,941
Couple+2 children, Age 21 2,394
Couple+2 children, Age 30 2,577
Couple+2 children, Age 40 2,771
Couple+2 children, Age 50 3,460
Couple+3 or more Children, Age 21 2,912
Couple+3 or more Children, Age 30 3,095
Couple+3 or more Children, Age 40 3,289
Couple+3 or more Children, Age 50 3,978
Individual+1 child, Age 21 1,197
Individual+1 child, Age 30 1,288
Individual+1 child, Age 40 1,385
Individual+1 child, Age 50 1,730
Individual+2 children, Age 21 1,715
Individual+2 children, Age 30 1,807
Individual+2 children, Age 40 1,904
Individual+2 children, Age 50 2,248
Individual+3 or more children, Age 21 2,234
Individual+3 or more children, Age 30 2,326
Individual+3 or more children, Age 40 2,423
Individual+3 or more children, Age 50 2,767
Reference
Back to Top

  • 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