Blue Cross of California Blue Cross Individual HMO Plan Information
Plan Type: HMO
Physician Choice: General practitioner chooses specialist(s)
Annual Out-of-Pocket Maximum (includes deductible): $3000/member, 2 member maximum
Annual Deductible: No deductible
Office Visits: $10 copay/visit
Professional Services: $10 copay/visit
Hospital Inpatient/Outpatient: Member responsibility is 20% of negotiated fee for Inpatient and Outpatient services.
Emergency Services: Inpatient and professional services: no charge when authorized by your medical group within 48 hours of emergency care; Outpatient: $100 emergency room copay (waived if admitted) plus 20% of negotiated fee
Maternity: Office visits, inpatient and outpatient paid as above
Preventive Care - General: $10 copay for specific health maintenance services
Drug Benefits: $10 generic; $30 brand-name copay after $250 brand-name deductible; 30% of negotiated fee for self-administered injectables, except insulin
Financial/Tax Incentive: No
Specialty Pharmacy Drug Benefit: Certain drugs will be obtainable only through Precision Rx Specialty Solutions.
Other Blue Cross of California health insurance plans:
- BCL&H CORE 5000
- BCL&H Basic PPO 2500 with Life
- BCL&H Basic PPO 1000 with Life
- Individual PPO $3500 with HSA Compatibility
- Lumenos HSA 5000/10000/100
- Lumenos HIA 5000/10000/100
- BCL&H 3500 Deductible
- BCL&H RightPlan PPO 40 w/No Rx
- BCL&H RightPlan PPO 40 w/Generic Rx
- BCL&H PPO Share 5000
- Lumenos HIA Plus 5000/10000/100
- BCL&H RightPlan PPO 40 w/Rx
- BCL&H PPO Saver with Life
- Individual Select HMO
- Lumenos HSA 3000/6000/100
- Lumenos HIA 3000/6000/100
- Blue Cross PPO Share 2500
- Lumenos HSA 2500/5000/100
- Lumenos HIA 2500/5000/100
- Lumenos HIA Plus 3000/6000/100
- Blue Cross HMO Saver
- Lumenos HIA Plus 2500/5000/100
- Blue Cross PPO Share 1500
- Lumenos HSA 1500/3000/100
- Lumenos HIA 1500/3000/100
- BCL&H PPO Share 1000
- BCL&H PPO Share 500
