BlueSelect Gold Core

Blue Cross Blue Shield of Wyoming · 2026 plan year

GoldHSA eligible
Ind. deductible
$2,000
Family deductible
$4,000
Ind. OOP max
$7,000
Family OOP max
$14,000

Compare with other Gold plans in WY

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

More Blue Cross Blue Shield of Wyoming plans in WY

Monthly premiums by age

Rating Area 2 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$564$564
21$738$922
30$837$1,046
40$943$1,178
50$1,317$1,647
60$2,002$2,502
64 and over$2,213$2,766

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 Illness20.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit20.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services20.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services20.00% Coinsurance after deductible
Urgent Care Centers or Facilities20.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs20.00% Coinsurance after deductible
Non-Preferred Brand Drugs20.00% Coinsurance after deductible
Preferred Brand Drugs20.00% Coinsurance after deductible
Specialty Drugs20.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services20.00% Coinsurance after deductible

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Inpatient Physician and Surgical Services20.00% Coinsurance after deductible
Accidental Dental20.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing20.00% Coinsurance after deductible
Bariatric Surgery20.00% Coinsurance after deductible
Basic Dental Care - AdultNot covered
Basic Dental Care - Child20.00% Coinsurance after deductible
Chemotherapy20.00% Coinsurance after deductible
Chiropractic Care20.00% Coinsurance after deductible
Cosmetic Surgery20.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care20.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education20.00% Coinsurance after deductible
Dialysis20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services20.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Durable Medical Equipment20.00% Coinsurance after deductible
Emergency Transportation/Ambulance20.00% Coinsurance after deductible
Eye Glasses for Children20.00% Coinsurance after deductible
Habilitation Services20.00% Coinsurance after deductible
Hearing AidsNot covered
Home Health Care Services20.00% Coinsurance after deductible
Hospice Services20.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)20.00% Coinsurance after deductible
Infertility Treatment20.00% Coinsurance after deductible
Infusion Therapy20.00% Coinsurance after deductible
Major Dental Care - Child20.00% Coinsurance after deductible
Nutritional CounselingNot covered
Orthodontia - AdultNot covered
Orthodontia - Child20.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)20.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)20.00% Coinsurance after deductible
Outpatient Rehabilitation Services20.00% Coinsurance after deductible
Prenatal and Postnatal Care20.00% Coinsurance after deductible
Private-Duty Nursing20.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Prosthetic Devices20.00% Coinsurance after deductible
Radiation20.00% Coinsurance after deductible
Reconstructive Surgery20.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy20.00% Coinsurance after deductible
Rehabilitative Speech Therapy20.00% Coinsurance after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for Children20.00% Coinsurance after deductible
Routine Foot CareNot covered
Skilled Nursing Facility20.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services20.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services20.00% Coinsurance after deductible
Transplant20.00% Coinsurance after deductible
Treatment for Temporomandibular Joint DisordersNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging20.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 1 geographic area.

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