|
Blue
Cross Insurance - Health, Hospital, Surgical, Rx and Dental
.Sample
Duval County Monthly Rates - Surrounding Counties Less.
Age 20
Male $78
Female $85
|
Age 30
Male $102
Female $112
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Age 40
Male $139
Female $155
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Age 50
Male $206
Female $216
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Age 60
Male $347
Female $291
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ALL Local
Hospitals including Mayo and
MOST Doctors – No Referrals Required
|
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
Urgent Care Facilities - Extended Hours,
Weekends, Holidays
Independent Diagnostic Xrays
Independent Imaging CT, MRA, MRI, PET,
Nuclear
Emergency Room
Waived if Admitted or
Surgical Services Provided |
Your
Cost
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
No Charge
Copays
$50
Blue
$75
Blue
$50
Blue
$75
You
$150
You
$500
You
|
If Hospitalization, Outpatient Surgical or Major Care Required
$250
Deductible then BLUE Pays
90% first $25,000 Expenses, Thereafter BLUE
Pays 100% Unlimited
Coverage Includes
Ambulatory
Surgical Centers or Hospital Inpatient, Hospital Outpatient and ER
Ambulance, Skilled
Nursing Facility, Home Health Care, Hospice
Anesthesiology,
Pathology, Radiology
Doctors,
Specialists, Surgeons or Other Provider Fees Outside Their Offices
Max Out-of-Pocket $2,500
Includes
above Copays, Deductible and 10% Coinsurance
Prescriptions
Generic Rxs -
No Deductible - Your
Copay $10 or Less
Brand
Rxs -
Annual
Deductible
$800
- Your Copays
$60
Preferred or
$100
NonPreferred
Bonus Dental
Preventive
Care
- Blue Pays $50
Exams, Xrays,
Cleanings, Fluorides
Basic
Care
- Blue Pays $50
Fillings and Extractions
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represent Aetna, Blue Cross, Cigna, Humana, United and
our rates
are EXACTLY THE same
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