Blue Choice® Platinum
Is Blue Choice Platinum right for me?
If you prefer to pay less for inpatient hospital stays and physician visits, Blue Choice Platinum may be the plan for you. Blue Choice Platinum provides you with broad access to doctors, hospitals and pharmacies through our PPO network you know and trust. In addition to the 10 Essential Health Benefits, this plan also provides coverage for adult vision.
We created a series of videos to help you understand the basics about healthcare coverage. or click on the video links in the chart below to learn more.
Coverage highlights for Blue Choice Platinum*
|Calendar Year Deductible||$100 individual; $200 family|
Calendar Year Out-of-Pocket Maximum |
$4,000 individual; $8,000 family
After you reach Calendar Year Out-of-Pocket Maximum, applicable in-network expenses are covered at 100%
| Physician Visits |
|Inpatient Hospital Care||$150 per day hospital copay days 1-5 for each admission|
| Outpatient Surgery |
(including Ambulatory Surgical Centers)
|$150 hospital copay|
|Emergency Room||$150 hospital copay|
| Diagnostic Lab Services, X-rays |
|Covered at 100%|
|Surgery and Anesthesia||Covered at 100%|
|Maternity Care||Covered at 100%|
|Adult Eye Exam||Covered at 100%|
|(Limited to $75 maximum for exam and refraction per calendar year for adults age 19 and over)|
| Routine Immunizations and |
|Covered at 100%|
|(See www.bcbsal.com/preventiveservices for a listing of specific immunizations and preventive services.)|
PRESCRIPTION DRUG BENEFITS: (Standard Prescription Drug List)
| Generic Drugs: |
Preferred Brand Drugs:
Other Brand Drugs:
| $10 copay |
*Benefits listed apply to in-network services.
To determine your premium, click on Shop for Plans or call us at 1-855-890-7416.