This coverage is basic, simple and affordable. In our new portfolio of products, this is the most cost-effective solution to providing comprehensive coverage. BlueEssentials offers:

• Choice of provider networks:
  • Participating, PPP or Access
• Choice of deductible amounts:
  • $500, $1,000 or $2,000
• Copayments for office visits, not subject to deductible
• Office visits (E&M), preventive services (e.g., women’s, well baby, routine health exams), non-facility urgent care, mental health/chemical dependency office services
  • $20 copayment for visit with Personal Physician
  • $10 copayment for immunization administration (with or without office visit)
    • Serum is covered in full, not subject to deductible or coinsurance
  • $40 copayment for visit with Specialist
• Other services (DXL, procedures) during visit subject to deductible and coinsurance
• Most services paid at 70% in-network, 50% out-of-network after deductible
• Deductible waived for preventive care by in-network providers
• Ambulance services paid at 60% after in-network deductible