BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

Florida Blue HMO (a BlueCross BlueShield FL company) · 2026 plan year

Platinum
Ind. deductible
No deductible
Family deductible
$0
Ind. OOP max
$2,525
Family OOP max
$5,050

Compare with other Platinum plans in FL

Side by side: deductibles, out-of-pocket limits and copays.

More Florida Blue HMO (a BlueCross BlueShield FL company) plans in FL

Monthly premiums by age

Rating Area 52 — the lowest-priced of the 10 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$991$991
21$1,295$1,398
30$1,470$1,653
40$1,655$1,944
50$2,313$2,775
60$3,514$4,217
64 and over$3,885$4,662

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or IllnessNo charge

Specialist

BenefitIn-network
Specialist Visit$25.00

Hospital

BenefitIn-network
Emergency Room Services$75.00
Inpatient Hospital Services (e.g., Hospital Stay)$350.00 Copay per Day
Outpatient Surgery Physician/Surgical ServicesNo charge
Urgent Care Centers or Facilities$25.00

Pharmacy

BenefitIn-network
Generic Drugs$10.00
Non-Preferred Brand Drugs30.00%
Off Label Prescription Drugs30.00%
Preferred Brand Drugs$40.00
Specialty Drugs50.00%

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$350.00 Copay per Day
Mental/Behavioral Health Outpatient Services$15.00

Other

BenefitIn-network
Congenital Anomaly, including Cleft Lip/Palate$300.00
Cosmetic SurgeryNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)$25.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$300.00
Orthodontia - ChildNot covered
Osteoporosis$25.00
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$25.00
AcupunctureNot covered
Allergy Testing$25.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Bone Marrow Testing$350.00
Chemotherapy$300.00
Chiropractic Care$25.00
Delivery and All Inpatient Services for Maternity Care$350.00
Dental Anesthesia$25.00
Dental Check-Up for ChildrenNot covered
Diabetes Care Management$25.00
Diabetes EducationNo charge
Dialysis$300.00
Durable Medical EquipmentNo charge
Emergency Transportation/Ambulance20.00%
Eye Glasses for ChildrenNo charge
Habilitation Services$25.00
Hearing AidsNot covered
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$150.00
Infertility TreatmentNot covered
Infusion Therapy$300.00
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional ServicesNo charge
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Nutrition/Formulas$25.00
Nutritional Counseling$25.00
Orthodontia - AdultNot covered
Outpatient Rehabilitation Services$25.00
Prenatal and Postnatal Care$25.00
Private-Duty NursingNot covered
Prosthetic DevicesNo charge
Radiation$300.00
Reconstructive Surgery$300.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$25.00
Rehabilitative Speech Therapy$25.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$25.00
Skilled Nursing Facility$500.00 Copay per Stay
Substance Abuse Disorder Inpatient Services$350.00 Copay per Day
Substance Abuse Disorder Outpatient Services$15.00
Transplant$350.00
Treatment for Temporomandibular Joint Disorders$25.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$75.00

Plan rules

Service area

This plan covers 10 geographic areas.

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