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Blue Cross - Major Medical Plan

Covers ALL Hospitals including Mayo and MOST Doctors

Scroll Down simple Benefits Summary and Example 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 Xrays

Independent Imaging CT, MRA, MRI, PET, Nuclear

SERVICES

No Charge

COPAYS

$35

$50

$10

$60

$75

$250

Annual Deductible

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

$3,500 Less Credit for Above Copays Paid - Then Plan PAYS 100% Unlimited

Max Out-of-Pocket $3,500

Includes above Copays and Deductible

Prescriptions

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

Brand Rxs - Annual Deductible $300 - Your Coinsurance 40% Preferred, 50% NonPreferred

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

.Sample Duval County Monthly Rates - Surrounding Counties Less.

Age 20

Male $140

Female $158

Age 30

Male $197

Female $234

Age 40

Male $252

Female $262

Age 50

Male $330

Female $358

Age 60

Male $538

Female $494

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