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BlueSelect Silver Value
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BlueSelect Silver Value

Overview
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BlueSelect Silver Value 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 Washakie 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
11269WY0070018
Coverage area
Washakie 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
$3,000
Out-of-pocket maximum
$7,900
Generic drug co-pay
$5
Preferred brand drug co-pay
$50 Copay after deductible
Primary care physician visit cost
$40 and 20% Coinsurance after deductible
Specialist doctor visit cost
20% Coinsurance after deductible
Doctor Visits
Primary Care Visit $40 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 $50 Copay after deductible
Non-preferred Brand Drugs 20% Coinsurance after deductible
Specialty Drugs 20%
Medical Deductible
Medical Deductible (Individual) $3,000
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $6,000
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) $750
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $1,500
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 523
Premium Child Age 18 625
Premium Adult Individual Age 21 684
Premium Adult Individual Age 27 717
Premium Adult Individual Age 30 777
Premium Adult Individual Age 40 875
Premium Adult Individual Age 50 1,222
Premium Adult Individual Age 60 1,858
Premium Couple 21 1,369
Premium Couple 30 1,554
Premium Couple 40 1,750
Premium Couple 50 2,445
Premium Couple 60 3,716
Couple+1 child, Age 21 1,893
Couple+1 child, Age 30 2,077
Couple+1 child, Age 40 2,273
Couple+1 child, Age 50 2,969
Couple+2 children, Age 21 2,416
Couple+2 children, Age 30 2,601
Couple+2 children, Age 40 2,797
Couple+2 children, Age 50 3,493
Couple+3 or more Children, Age 21 2,940
Couple+3 or more Children, Age 30 3,125
Couple+3 or more Children, Age 40 3,321
Couple+3 or more Children, Age 50 4,016
Individual+1 child, Age 21 1,208
Individual+1 child, Age 30 1,300
Individual+1 child, Age 40 1,398
Individual+1 child, Age 50 1,746
Individual+2 children, Age 21 1,732
Individual+2 children, Age 30 1,824
Individual+2 children, Age 40 1,922
Individual+2 children, Age 50 2,270
Individual+3 or more children, Age 21 2,255
Individual+3 or more children, Age 30 2,348
Individual+3 or more children, Age 40 2,446
Individual+3 or more children, Age 50 2,794
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