my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision
Highmark Blue Cross Blue Shield Delaware · 2026 plan year
Platinum
- Ind. deductible
- No deductible
- Family deductible
- $0
- Ind. OOP max
- $5,000
- Family OOP max
- $10,000
Compare with other Platinum plans in DE
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Highmark Blue Cross Blue Shield Delaware plans in DE
Monthly premiums by age
Rating Area 1
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $611 | $611 |
| 21 | $798 | $818 |
| 30 | $906 | $929 |
| 40 | $1,020 | $1,123 |
| 50 | $1,426 | $1,747 |
| 60 | $2,167 | $2,655 |
| 64 and over | $2,395 | $2,934 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | No charge |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | No charge |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $100.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $325.00 Copay per Stay |
| Outpatient Surgery Physician/Surgical Services | $200.00 |
| Urgent Care Centers or Facilities | $5.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | No charge |
| Non-Preferred Brand Drugs | $50.00 |
| Preferred Brand Drugs | $10.00 |
| Specialty Drugs | 50.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $325.00 Copay per Stay |
| Mental/Behavioral Health Outpatient Services | No charge |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | No charge |
| Accidental Dental | 10.00% |
| Acupuncture | Not covered |
| Allergy Testing | No charge |
| Bariatric Surgery | 10.00% |
| Basic Dental Care - Adult | 20.00% |
| Basic Dental Care - Child | 50.00% |
| Chemotherapy | 10.00% |
| Chiropractic Care | 10.00% |
| Clinical Trials | 10.00% |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $325.00 |
| Dental Check-Up for Children | No charge |
| Diabetes Care Management | 10.00% |
| Diabetes Education | No charge |
| Dialysis | 10.00% |
| Durable Medical Equipment | 10.00% |
| Emergency Transportation/Ambulance | 10.00% |
| Eye Glasses for Children | No charge |
| Habilitation Services | No charge |
| Hearing Aids | 10.00% |
| Home Health Care Services | 10.00% |
| Hospice Services | 10.00% |
| Imaging (CT/PET Scans, MRIs) | $200.00 |
| Infertility Treatment | 10.00% |
| Infusion Therapy | 10.00% |
| Inherited Metabolic Disorder - PKU | 10.00% |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | No charge |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | 50.00% |
| Major Dental Care - Child | 50.00% |
| Nutritional Counseling | No charge |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No charge |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $200.00 |
| Outpatient Rehabilitation Services | No charge |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | 10.00% |
| Prosthetic Devices | 10.00% |
| Radiation | 10.00% |
| Reconstructive Surgery | 10.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | No charge |
| Rehabilitative Speech Therapy | No charge |
| Routine Dental Services (Adult) | No charge |
| Routine Eye Exam (Adult) | No charge |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | $325.00 Copay per Stay |
| Substance Abuse Disorder Inpatient Services | $325.00 Copay per Stay |
| Substance Abuse Disorder Outpatient Services | No charge |
| Transplant | 10.00% |
| Treatment for Temporomandibular Joint Disorders | 10.00% |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | No charge |
Plan rules
Service area
This plan covers 1 geographic area.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.