HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice

Blue Cross and Blue Shield of Nebraska
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Plan overview
Medical deductible

Individual: $6500

Family: $13000

Per Person: $6500


Prescription drug deductible

Individual: $0

Family: $0

Per Person: $0


Combined medical and drug out of pocket maximum

Individual: $8050

Family: $16100

Per Person: $8050

Office visit
Primary Doctor

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered

Benefit Explanation:


Specialist

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered

Prescription drug information
Preferred brand drugs

CoPay: Not Applicable

CoInsurance: 50.00% Coinsurance after deductible

Covered: Covered

Limit Quantity:

Limit Unit:

Benefit Explanation:


Non preferred brand drugs

CoPay: Not Applicable

CoInsurance: 55.00% Coinsurance after deductible

Covered: Covered

Limit Quantity:

Limit Unit:

Benefit Explanation:


Generic drugs

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered

Limit Quantity:

Limit Unit:

Benefit Explanation:


Specialty drugs

CoPay: Not Applicable

CoInsurance: 60.00% Coinsurance after deductible

Covered: Covered

Limit Quantity:

Limit Unit:

Benefit Explanation:

Inpatient coverage
Hospital services

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered


Inpatient services

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered

Emergency and urgent care
Emergency room

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered


Urgent care facility

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered

Benefit Explanation:

Maternity
Labor and delivery hospital stay

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered


Pre and Postnatal office visit

CoPay: Not Applicable

CoInsurance: 20.00% Coinsurance after deductible

Covered: Covered

Vision
Routine Eye Exams for Children

CoPay: No Charge

CoInsurance: Not Applicable

Covered: Covered

Limit Quantity: 1

Limit Unit: Visit(s) per Year

Major dental care
Routine dental checkups for children

CoPay: No Charge

CoInsurance: Not Applicable

Covered: Covered

Limit Quantity: 2

Limit Unit: Exam(s) per Year


Routine dental checkups for adults

CoPay:

CoInsurance:

Covered: Not Covered

Limit Quantity:

Limit Unit:

Benefit Explanation:

Have questions?

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These policies have exclusions, limitations, reduction of benefits, terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company (whichever is applicable).