CareFirst BlueChoice, Inc.*

CareFirst BlueChoice, Inc.* | HealthyBlue Plus Gold $750

  • HealthyBlue Plus Gold $750 is an Obamacare health insurance plan offered by CareFirst BlueChoice, Inc.* that is available for individuals and families.

  • This plan is a POS, meaning you will require a primary care physician to manage your care like in an HMO, but you will have more flexibility than in an HMO to go out-of-network. (Learn more about POS plans.)

  • 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 $750. 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 $4,000, 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

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Plan Summary

Monthly Cost

Plan Name:
HealthyBlue Plus Gold $750

Plan ID:
10207VA0400005

Plan Type:
POS

Deductible:
$750

Maximum Out-of-Pocket:
$4,000

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 low deductible on this plan means you won't have to pay as much 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


Dental Coverage:
Child

Emergency Room:
$300

Retail Drugs:
$50 Copay after deductible

Generic Drugs:
No Charge

Overview


Plan Type:
POS

Metal Level:
Gold

Health Spending Account:
No

Primary Care Office Visit:
No Charge

Specialist Office Visit:
$30

Out of Network Coverage:
Yes

Out of Country Coverage:
Yes

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
No Charge after deductible
Well Baby Care
In Network:
No Charge

Out of Network:
No Charge

Inpatient

Hospital Services
In Network:
$450 Copay per Day

Out of Network:
$550 Copay per Day
Physician Fee
In Network:
$30 Copay after deductible

Out of Network:
$50 Copay after deductible
Skilled Nursing Facility
In Network:
$75 Copay per Stay after deductible

Out of Network:
$150 Copay per Stay
Mental Health
In Network:
$450 Copay per Day

Out of Network:
$550 Copay per Day
Substance Abuse
In Network:
$450 Copay per Day

Out of Network:
$550 Copay per Day
Home Healthcare
In Network:
No Charge

Out of Network:
$50 Copay after deductible

Outpatient

Surgery
In Network:
$30

Out of Network:
$50 Copay after deductible
X-ray and Diagnostics
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Labs
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Facility Fee
In Network:
$300

Out of Network:
$400 Copay after deductible
Mental Health
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Substance Abuse
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Rehabilitation Services
In Network:
$30

Out of Network:
$50 Copay after deductible

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Labor and Delivery Inpatient Services
In Network:
$450 Copay after deductible

Out of Network:
$550 Copay after deductible

Dental

Accidental Care
In Network:
$300

Out of Network:
$300
Basic Dental Care (Child)
In Network:
20% Coinsurance after deductible

Out of Network:
40% Coinsurance after deductible
Dental Checkup (Child)
In Network:
No Charge

Out of Network:
20%
Major Dental Care (Child)
In Network:
20% Coinsurance after deductible

Out of Network:
40% Coinsurance after deductible
Orthodontia (Child)
In Network:
50%

Out of Network:
65%

Vision

Eye Exam (Child)
In Network:
No Charge

Out of Network:
Not Covered
Glasses (Child)
In Network:
No Charge

Out of Network:
Not Covered

Additional Coverage

Chiropractic Care
In Network:
$30

Out of Network:
$50 Copay after deductible
Habilitation Services
In Network:
$30

Out of Network:
$50 Copay after deductible
Rehabilitation Services (Speech)
In Network:
$30

Out of Network:
$50 Copay after deductible
Rehabilitation Services (Occupational Therapy)
In Network:
$30

Out of Network:
$50 Copay after deductible
Hospice Service
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Diabetes Care Management
In Network:
$30

Out of Network:
$50 Copay after deductible
Durable Medical Equipment
In Network:
$30

Out of Network:
$50 Copay after deductible
Nutritional Consuleling
In Network:
No Charge

Out of Network:
No Charge after deductible
Reconstructive Surgery
In Network:
$300

Out of Network:
$400 Copay after deductible
Outside US Non-emergency Care
In Network:
No Charge

Out of Network:
$50 Copay after deductible

Doctor Visits

Primary Care Visit
In Network:
No Charge

Out of Network:
$50 Copay after deductible
Specialist Visit
In Network:
$30

Out of Network:
$50 Copay after deductible
Other Practitioner Office Visit
In Network:
$30

Out of Network:
$50 Copay after deductible
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
No Charge after deductible

Emergency Room and Urgent Care

Emergency Room Services
In Network:
$300

Out of Network:
$300
Urgent Care Services
In Network:
$50

Out of Network:
$50
Ambulance/Transportation Services
In Network:
$30

Out of Network:
$30

Drugs

Generic Prescription
In Network:
No Charge

Out of Network:
No Charge
Retail Brand Drugs
In Network:
$50 Copay after deductible

Out of Network:
$50 Copay after deductible
Non Retail Brand Drugs
In Network:
$70 Copay after deductible

Out of Network:
$70 Copay after deductible
Specialty Drugs
In Network:
$150 Copay after deductible

Out of Network:
$150 Copay after deductible
Drug Deductible
In Network:
Individual: $250 Family: $500

Out of Network:
Individual: Not Applicable Family: Not Applicable

Additional Plan Information

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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