Hometown North Bronze HSA 6250
Blue Cross of Idaho
Plan overview
Medical deductible
Individual: $6250
Family: $12500
Per Person: $6250
Prescription drug deductible
Individual: $0
Family: $0
Per Person: $0
Combined medical and drug out of pocket maximum
Individual: $7500
Family: $15000
Per Person: $7500
Office visit
Primary Doctor
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Specialist
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Prescription drug information
Preferred brand drugs
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Non preferred brand drugs
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Generic drugs
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Specialty drugs
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Inpatient coverage
Hospital services
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Inpatient services
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Emergency and urgent care
Emergency room
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Urgent care facility
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Maternity
Labor and delivery hospital stay
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Pre and Postnatal office visit
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Vision
Routine Eye Exams for Children
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Major dental care
Routine dental checkups for children
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Routine dental checkups for adults
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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).