![]() ![]() Prescription Drug Utilization Benefit Management Programs Outpatient Prescription Drugs – Non-Preferred Pharmacy Outpatient Prescription Drugs – Preferred Pharmacy Mental Illness Treatment and Substance Abuse Rehab Office Visit Out-of-Pocket Maximum An out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services (includes deductible) Plan Nameĭeductible a specified amount of money that the insured must pay before an insurance company will pay a claim.Ĭoinsurance What % you pay after your deductible has been met and before your out of pocket max ![]() You must select a Blue Advantage HMO Primary Care Physician (PCP) when enrolling in this plan. There are deductibles for this plan, and this is an HMO plan. Requires regular prescription medication.Are expecting to have surgery or major services in the near future and want the lowest out of pocket costs.Are willing to have a primary care physician (PCP) coordinate your care.Gold Plans have a higher monthly premium and often lower out-of-pocket costs than Silver and Bronze plans.īlue Advantage Gold HMO Plans may be right for you if you are an individual or family who: The Blue Advantage Gold HMO Plans are the most expensive plans, but also have the most comprehensive benefits. All Blue Advantage Gold HMO Plans offer the same set of essential health benefits, quality and amount of care as the Blue Advantage Silver and Gold HMO Plans. ![]()
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