Highmark Blue Cross Blue Shield Delaware
my Blue Access PPO Premier Gold 0
Plan Overview
Medical Deductible |
|
Prescription Drug Deductible |
|
Combined Medical and Drug Out of Pocket Maximum |
|
Office Visit
Primary Doctor |
|
Specialist |
|
Prescription Drug Information
Preferred Brand Drugs |
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Non Preferred Brand Drugs |
|
Generic Drugs |
|
Specialty Drugs |
|
Inpatient Coverage
Hospital Services |
|
Inpatient Services |
|
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 |
|
Vision
Routine Eye Exams For Children |
|
Major Dental Care
Routine Dental Checkups for Children |
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Routine Dental Checkups for Adults |
|
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