Health Insurance - Affordable Health Insurance Quotes through Health Plan Express from Individual Health Insurance Including Health Savings Accounts and Short Term or Temporary Health Insurance to Medicare Supplemental Health Insurance

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  Plan Benefit Summary  
Company/Plan Name
Personal BluePlan 1
Deductible  
In-Network $250
Per Member, Per Benefit Period
Out-Network $250
Per Member, Per Benefit Period
Maximum Family Deductible No family maximum applies.
Coinsurance  
In-Network 80/20 to $25,000
Out-Network 60/40 to $20,000
Maximum Out-Of-Pocket Coinsurance  
In-Network $5,000
Out-Network $8,000
Maximum Benefit $2,000,000 lifetime maximum
Physician Office Visit  
In-Network $20 CoPay
Non-routine office visits are subject to the office visit CoPay.
Out-Network Subject to Deductible & Coinsurance
Outpatient Lab & X-Ray  
In-Network Subject to Deductible & Coinsurance
Out-Network Subject to Deductible & Coinsurance
Outpatient Preventive Care Limited Benefit
In-Network Mammograms covered at 100% at mammogram network provider, OB/GYN Exam, Pap smears & Prostate cancer screenings covered at 100% after CoPay. Well-child care (ages 1-7) & immunizations (beginning at age 1) are subject to CoPay, then covered at 100%.
Out-Network Not Covered
Prescription Drugs
Generic $8 CoPay, then 100% of allowable charges @ any AdvancePCS network pharmacy.
Brand Name(formulary) $25 CoPay for preferred drugs, then 100% of allowable charges @ any AdvancePCS network pharmacy.
Brand Name(Non-formulary) $50 CoPay for non-preferred drugs, then 100% of allowable charges @ any AdvancePCS network pharmacy.
Outpatient Surgery  
In-Network Subject to Deductible & Coinsurance
Out-Network Subject to Deductible & Coinsurance
Emergency Room
In-Network Subject to Deductible & Coinsurance
Out-Network Subject to Deductible & Coinsurance
Maternity Prenatal/Post Natal  
In-Network Optional Maternity Coverage Available (not quoted)
Out-Network Optional Maternity Coverage Available (not quoted)
Inpatient Benefits  
    Hospitalization  
In-Network Subject to Deductible & Coinsurance
Out-Network $250 CoPay, then subject to Deductible & Coinsurance.
    Surgical  
In-Network Subject to Deductible & Coinsurance
Out-Network $250 CoPay, then subject to Deductible & Coinsurance
    Maternity  
In-Network Optional Maternity Coverage Available (not quoted)
Out-Network Optional Maternity Coverage Available (not quoted)
Rate Guarantee None
Optional Benefits  
Supplemental Accident Optional Accident Medical Expense Coverage available (not quoted)
24 Hour Coverage Included in plan (not an optional benefit). Injuries or diseases not paid by worker?s compensation will be considered.
Other Not Available
 

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Affordable Health Insurance Quotes through HealthPlan Express


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IMPORTANT NOTICES AND DISCLAIMERS
 
To be considered for reimbursement, insurers require that expenses must qualify as covered expenses. Expenses are also subject to reasonable and customary limits, unless you use a PPO/Network, as well as determinations of medical necessity.

This Benefit Comparison is intended as preliminary information only. The company provided (product specific) brochure contains important details concerning the benefits, limitations, exclusions and renewability of each plan. Be sure to download the brochure before applying. Refer to the policy as the binding authority for all terms and provisions of coverage. The rates provided are intended to be accurate but may change based on a number of factors including your medical history. The rates and terms of a policy may be changed by the insurance company with proper notification (and subject to any necessary regulatory approval). The rates shown are based on preferred underwriting criteria, if applicable.

Company Brochure

More details and variations in benefits for your state are in the company specific brochure and/or Outline of Coverage, which you can access by clicking the download brochure link above. Please do so before you apply. Alternatively, you may request this information be mailed to you.

Association Plans

Certain products available through some insurance companies require membership in an association which may be separate and distinct form the health plan/insurer. Details on membership and any fees are described in the company specific brochures.

Blue Cross and Blue Shield of South Carolina is an Independent Licensee of the Blue Cross and Blue Shield Association.


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