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BlueCross BlueShield PPO 2022-2023 →.pdf

2022-2023-blue-cross-student-only-summary-benefit.pdf
Preview of BlueCross BlueShield PPO 2022-2023 →
🔗 Source: massbayedunew.s3.amazonaws.com
📊 Size: 1000 KB
👤 Author: Jamie Marrongelli
⬇️ Downloads: 333

Summary

Blue Cross Blue Shield of Massachusetts' Blue Care Elect Preferred 80 with Copay Student Health Plan has a $250 in-network and $500 out-of-network deductible. The plan covers certain services before meeting the deductible, including preventive care, office visits, and prescription drugs. The out-of-pocket limit is $4,000 in-network and $6,000 out-of-network for medical benefits, $1,000 for prescription drugs, and $350 for pediatric essential dental. Using a network provider results in lower costs, and no referral is needed to see a specialist. Copayments and coinsurance vary by service, with examples including $30 for primary care visits, $40 for specialist visits, and 20% coinsurance for diagnostic tests and imaging. Prescription drug coverage includes generic, preferred, and non-preferred brand drugs, with copayments ranging from $20 to $120. The plan also covers outpatient surgery, emergency room care, and mental health services, with varying copayments and coinsurance.

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Description

Blue Cross Blue Shield of Massachusetts' Blue Care Elect Preferred 80 with Copay Student Health Plan has a $250 in-network and $500 out-of-network deductible.

Technical Information

  • File Format: PDF
  • File Size: 1000 KB
  • Pages: 13
  • Language: EN
  • Author: Jamie Marrongelli
  • Total Downloads: 333
  • Last Updated: 2 weeks ago

Document Overview

This PDF document about BlueCross BlueShield PPO 2022-2023 → provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into BlueCross BlueShield PPO 2022-2023 →.

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