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It's Open Enrollment Time! We offer a Catastrophic plan option for individuals under age 30. 

You'll find a summary of this plan's other benefits by clicking on the plan name. This plan offers the same basic vision and preventive dental benefits as all other Blue Option plans. 

 

Plan List

Catastrophic

Plan BenefitsIn Network Only
Deductible (single/family)

$7,900/$15,800

Maximum Out Of Pocket (single/family)

$7,900/$15,800

Primary Care Physician Services

$25 for first three visits; deductible thereafter

Maternity Care (prenatal and postnatal)

Deductible

Specialist Visit

Deductible

Urgent Care

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Freestanding Ambulatory Surgical Center

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit

Gynecologist Exam (two exams per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: deductible retail/deductible mail order;
Tier 2: deductible retail/deductible mail order;
Tier 3: deductible retail/deductible mail order;
Tier 4: deductible retail/deductible mail order

Specialty Pharmaceuticals

Tier 5: deductible retail/deductible mail order;
Tier 6: deductible retail/deductible mail order

Durable Medical Equipment

Deductible

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 15 combined visits per benefit year

Transplants

A BlueChoice HealthPlan-participating facility must provide services. We will treat covered transplants the same as any other medical condition.