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Blue Cross Health Insurance - Affordable Copay Plan

Covers ALL Hospitals including Mayo and MOST Doctors

Scroll Down simple Benefits Summary and Monthly Rates

Preventive Health Care - No Deductible

Adult Annual Physicals and Immunizations

Child Wellness Checkups and Immunizations

Independent Lab Tests - Blood, Stool, Urine, Pathology

Pap Smears and Mammograms

Colonoscopies Age 50+

Osteoporosis Screening Women Age 60+

Mental Health - Inpatient 8 days, Outpatient 8 Visits

Alcohol, Obesity, Substance, Tobacco Screening & Counseling

Primary Medical Care - No Deductible

Doctor Visits Unlimited - Family, General, Internal, Pediatrics

Specialist Visits Unlimited - No Referral Required

Allergy Injections Office

Urgent Care Facilities - Extended Hours, Weekends, Holidays

Independent Diagnostic X-rays

Independent Imaging CT, MRA, MRI, PET or Nuclear

SERVICES

No Charge

COPAYS

$35

$75

$10

$100

$75

$200

Annual Deductible $2,500

Applies to Hospital Inpatient, Outpatient Surgery and All Other Covered Services

Then Plan PAYS 80% Next $17,500 - Thereafter Plan PAYS 100% Unlimited

Annual Max Out-of-Pocket $6,000

Includes above Copays, Deductible and 20% Coinsurance

Prescriptions

GENERIC Rxs - No Deductible - Your Copay $10 or Less

Brand Rxs - Annual Deductible $1500 - Your Copays $60 Preferred or $100 NonPreferred

Click optional Dental, Vision, Hearing coverage $21/Mo

.Sample Duval County Monthly Rates - Surrounding Counties Less.

Age 20

Male $108

Female $122

Age 30

Male $152

Female $180

Age 40

Male $194

Female $202

Age 50

Male $254

Female $276

Age 60

Male $415

Female $381

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