Blue Cross of California Lumenos HIA 5000/10000/100 Plan Information
Plan Type: HIA
Physician Choice: You choose specialist(s)
Annual Out-of-Pocket Maximum (includes deductible): $5,000 single, $10,000 family
Annual Deductible: $5,000 single, $10,000 family
Office Visits: After deductible 0% of negotiated fee.
Professional Services: After deductible 0% of negotiated fee.
Hospital Inpatient/Outpatient: After deductible 0% of negotiated fee.
Emergency Services: After deductible 0% of negotiated fee.
Maternity: After deductible 0% of negotiated fee.
Preventive Care - General: 0% of negotiated fee, deductible waived.
Drug Be
nefits: After deductible, 0% of negotiated fee.
Financial/Tax Incentive: Yes
Optometrist Benefit: Optometrists network has been created for BC Life so Insureds will have a participating provider network to choose from for medical services.
Preservice Review: Preservice review will be required for all inpatient hospital stays and certain diagnostic and radiological procedures.
Specialty Pharmacy Drug Benefit: After deductible, 0% of negotiated fee.
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
- 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
- Blue Cross Individual HMO
