WebCarrier Aetna CareFirst Kaiser UnitedHealthcare Type PPO EPO POS HMO HSA Show HSA compatible plans only Metal Level Platinum Gold Silver Bronze Catastrophic Network Coverage Nationwide In-Network DC Metro In-Network DC, MD (not available in VA) Number of plans : 152 Clear Filters Summary of Benefits and Coverage Contract … WebBenefits for BluePreferred PPO are as follows: Deductible – $100, $300, $500, $750, or $2500. Deductibles are per person, maximum of two per family. Co-insurance – 20% after deductible. 10% for the $100 deductible plan. 10% co-insurance optional for $300 deductible. Annual out of pocket limit for individuals – $2500, $3500, or $5000 ...
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WebBluePreferred PPO Standard Platinum $0. Plan Overview. Office Visit. Prescription Drug Information. Inpatient Coverage. Emergency and Urgent Care. Maternity. Vision. Major … WebIndividual/Family $500 Individual/$1,000 Family (separate) $1,000 Individual/$2,000 Family (separate) ANNUAL OUT-OF-POCKET MAXIMUM (Benefit Period)2,4,5 Individual/Family $1,500 Individual/$3,000 Family (separate) $3,000 Individual/$6,000 Family (separate) PREVENTIVE SERVICES Well-Child Care No charge* No charge* horham parish council suffolk
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WebBluePreferred PPO Platinum 500 BluePreferred PPO Gold 500 BluePreferred PPO Gold 1000 BluePreferred PPO Gold 1500 . CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medic al Services, Inc. which are independent licensees of the Blue Cross and Blue Shield … WebCareFirst Health Insurance: Medical, Dental & Vision Plans Carefirst ... WebBluePreferred PPO Standard Gold $500 BlueChoice HMO Standard Platinum $0 BluePreferred PPO Standard Platinum $0 See More Plan Termination View Form (applies to all plans) Proof of Coverage Social Security Number Submission Form Reinstatement Request View Form loose spring in couch