SimpliveraCoverage Companion

BlueSelect Silver HealthPlus

Blue Cross Blue Shield of Wyoming · 2026 plan year

Silver
Ind. deductible
$125
Family deductible
$250
Ind. OOP max
$1,300
Family OOP max
$2,600

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan87% AV Level Silver PlanLimited Cost Sharing Plan VariationStandard Silver Off Exchange PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More Blue Cross Blue Shield of Wyoming plans in WY

BlueSelect Bronze CoreBlueSelect Silver ClassicBlueSelect Gold Core

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$5.00

Specialist

BenefitIn-network
Specialist Visit25.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services25.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)25.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services25.00% Coinsurance after deductible
Urgent Care Centers or Facilities25.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$2.00
Non-Preferred Brand Drugs25.00% Coinsurance after deductible
Preferred Brand Drugs$25.00
Specialty Drugs25.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services25.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$5.00

Other

BenefitIn-network
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental25.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing25.00% Coinsurance after deductible
Bariatric Surgery25.00% Coinsurance after deductible
Basic Dental Care - AdultNot covered
Basic Dental Care - Child25.00% Coinsurance after deductible
Chemotherapy25.00% Coinsurance after deductible
Chiropractic Care25.00% Coinsurance after deductible
Cosmetic Surgery25.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care25.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education25.00% Coinsurance after deductible
Dialysis25.00% Coinsurance after deductible
Durable Medical Equipment25.00% Coinsurance after deductible
Emergency Transportation/Ambulance25.00% Coinsurance after deductible
Eye Glasses for Children25.00% Coinsurance after deductible
Habilitation Services25.00% Coinsurance after deductible
Hearing AidsNot covered
Home Health Care Services25.00% Coinsurance after deductible
Hospice Services25.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)25.00% Coinsurance after deductible
Infertility Treatment25.00% Coinsurance after deductible
Infusion Therapy25.00% Coinsurance after deductible
Inpatient Physician and Surgical Services25.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services25.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child25.00% Coinsurance after deductible
Nutritional CounselingNot covered
Orthodontia - AdultNot covered
Orthodontia - Child25.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)25.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)25.00% Coinsurance after deductible
Outpatient Rehabilitation Services25.00% Coinsurance after deductible
Prenatal and Postnatal Care25.00% Coinsurance after deductible
Private-Duty Nursing25.00% Coinsurance after deductible
Prosthetic Devices25.00% Coinsurance after deductible
Radiation25.00% Coinsurance after deductible
Reconstructive Surgery25.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy25.00% Coinsurance after deductible
Rehabilitative Speech Therapy25.00% Coinsurance after deductible
Routine Eye Exam for Children25.00% Coinsurance after deductible
Routine Foot CareNot covered
Skilled Nursing Facility25.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services25.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$5.00
Transplant25.00% Coinsurance after deductible
Treatment for Temporomandibular Joint DisordersNot covered
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging25.00% Coinsurance after deductible

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