Blue Cross and Blue Shield of South Carolina*

Blue Cross and Blue Shield of South Carolina* | BlueEssentials HD Gold 3

  • BlueEssentials HD Gold 3 is an Obamacare health insurance plan offered by Blue Cross and Blue Shield of South Carolina* that is available for individuals and families.

  • This plan is a EPO, meaning you will have some of the flexibility to manage more of your health care without a primary care physician, however, you will need to stay within the provider’s network. (Read more about EPOs.)

  • This plan is a Gold metal level plan, which generally has a higher monthly cost but lower deductible (and co-pay), and provides good insurance coverage for people and families who spend more on health care (doctor visits, Rx, tests) than the average person.

  • Deductible amount of $2,000. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

  • Max out-of-pocket of $2,000, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.


Ways to Enroll or Learn More

SPEAK WITH A LICENSED AGENT

Plan Summary

Monthly Cost

Plan Name:
BlueEssentials HD Gold 3

Plan ID:
26065SC0380008

Plan Type:
EPO

Deductible:
$2,000

Maximum Out-of-Pocket:
$2,000

Summary of Benefits:

Provider Information:

Who is this plan for?

This plan with a higher monthly cost is great for individuals and families who have multiple, serious, or chronic health needs, regularly visit the doctor, and regularly use multiple prescription drugs. The moderate deductible on this plan means you will pay a fair amount of money out of pocket for medical care and prescriptions before your insurance kicks in.

HealthCare.com is a privately-held internet start-up for healthcare consumers. We’re not the government website.

Highlights


Emergency Room:
No Charge after deductible

Retail Drugs:
No Charge after deductible

Generic Drugs:
No Charge after deductible

Overview


Plan Type:
EPO

Metal Level:
Gold

Health Spending Account:
Yes

Primary Care Office Visit:
No Charge after deductible

Specialist Office Visit:
No Charge after deductible

Out of Network Coverage:
Yes

Out of Country Coverage:
Yes

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
Not Covered
Well Baby Care
In Network:
No Charge

Out of Network:
Not Covered

Inpatient

Hospital Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Physician Fee
In Network:
No Charge after deductible

Out of Network:
Not Covered
Skilled Nursing Facility
In Network:
No Charge after deductible

Out of Network:
Not Covered
Mental Health
In Network:
No Charge after deductible

Out of Network:
Not Covered
Substance Abuse
In Network:
No Charge after deductible

Out of Network:
Not Covered
Home Healthcare
In Network:
No Charge after deductible

Out of Network:
Not Covered

Outpatient

Surgery
In Network:
No Charge after deductible

Out of Network:
Not Covered
X-ray and Diagnostics
In Network:
No Charge after deductible

Out of Network:
Not Covered
Labs
In Network:
No Charge after deductible

Out of Network:
Not Covered
Facility Fee
In Network:
No Charge after deductible

Out of Network:
Not Covered
Mental Health
In Network:
No Charge after deductible

Out of Network:
Not Covered
Substance Abuse
In Network:
No Charge after deductible

Out of Network:
Not Covered
Rehabilitation Services
In Network:
No Charge after deductible

Out of Network:
Not Covered

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
No Charge after deductible

Out of Network:
Not Covered
Labor and Delivery Inpatient Services
In Network:
No Charge after deductible

Out of Network:
Not Covered

Dental

Accidental Care
In Network:
No Charge after deductible

Out of Network:
Not Covered

Vision

Eye Exam (Child)
In Network:
$25

Out of Network:
Not Covered
Glasses (Child)
In Network:
$50

Out of Network:
Not Covered

Additional Coverage

Habilitation Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Rehabilitation Services (Speech)
In Network:
No Charge after deductible

Out of Network:
Not Covered
Rehabilitation Services (Occupational Therapy)
In Network:
No Charge after deductible

Out of Network:
Not Covered
Hospice Service
In Network:
No Charge after deductible

Out of Network:
Not Covered
Diabetes Care Management
In Network:
No Charge after deductible

Out of Network:
Not Covered
Durable Medical Equipment
In Network:
No Charge after deductible

Out of Network:
Not Covered
Reconstructive Surgery
In Network:
No Charge after deductible

Out of Network:
Not Covered
Outside US Non-emergency Care
In Network:
No Charge after deductible

Out of Network:
Not Covered

Doctor Visits

Primary Care Visit
In Network:
No Charge after deductible

Out of Network:
Not Covered
Specialist Visit
In Network:
No Charge after deductible

Out of Network:
Not Covered
Other Practitioner Office Visit
In Network:
No Charge after deductible

Out of Network:
Not Covered
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
Not Covered

Emergency Room and Urgent Care

Emergency Room Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Urgent Care Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Ambulance/Transportation Services
In Network:
No Charge after deductible

Out of Network:
Not Covered

Drugs

Generic Prescription
In Network:
No Charge after deductible

Out of Network:
Not Covered
Retail Brand Drugs
In Network:
No Charge after deductible

Out of Network:
Not Covered
Non Retail Brand Drugs
In Network:
No Charge after deductible

Out of Network:
Not Covered
Specialty Drugs
In Network:
No Charge after deductible

Out of Network:
Not Covered

Additional Plan Information

Summary Of Benefits:

Provider Information:

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.

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