MEDICAL INSURANCE
Bridging Freedom offers medical coverage through BlueCross BlueShield of Florida. The below chart provides an overview and comparison of the plan, please refer to your benefit summary for further detail.
BlueCare 17251
IN-NETWORK Deductible (Individual/Family)
$0 / $0
Coinsurance
100% / 0%
Maximum Out-of-Pocket (Individual/Family)
$7,000 / $14,000
Maximum Out-of-Pocket Includes
Deductible, Coinsurance & Copayments
Lifetime Max
Unlimited
PREVENTIVE CARE Wellness
Immunizations Mammography/Colonoscopy COPAYMENTS Primary Care Physician
Covered 100%
$50 Copayment
Specialist Visits
$100 Copay
Inpatient Hospital
$2,500 Copay per day ($7,000 max)
Outpatient Surgery
$2,000 Copay
Emergency Room
$700 Copay
Urgent Care
$105 Copay
OUTPATIENT DIAGNOSTIC SERVICES Lab Services (Freestanding Lab)
$50 Copay
X-Ray Services (Freestanding Lab)
$150 Copay
Complex Diagnostic
$750 Copay
PRESCRIPTIONS
Retail (30 day supply)
$25 / $150 / $250
Mail Order (90 day supply)
2x retail
OUT-OF-NETWORK Deductible Coinsurance Maximum Out-of-Pocket
None
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