BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

Florida Blue (BlueCross BlueShield FL) · 2026 plan year

Expanded BronzeHSA eligible
Ind. deductible
$6,500
Family deductible
$13,000
Ind. OOP max
$10,000
Family OOP max
$20,000

Compare with other Expanded Bronze plans in FL

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

More Florida Blue (BlueCross BlueShield FL) plans in FL

Monthly premiums by age

Rating Area 60 — the lowest-priced of the 41 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$313$313
21$410$442
30$465$523
40$523$615
50$731$878
60$1,112$1,334
64 and over$1,229$1,474

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$70.00

Hospital

BenefitIn-network
Emergency Room Services$250.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$400.00 Copay per Stay after deductible
Outpatient Surgery Physician/Surgical ServicesNo Charge after deductible
Urgent Care Centers or Facilities$70.00

Pharmacy

BenefitIn-network
Generic Drugs$30.00
Non-Preferred Brand Drugs47.00% Coinsurance after deductible
Off Label Prescription Drugs47.00% Coinsurance after deductible
Preferred Brand Drugs45.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$400.00 Copay per Stay after deductible
Mental/Behavioral Health Outpatient Services$55.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$70.00
AcupunctureNot covered
Allergy Testing$70.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Bone Marrow Transplant$400.00 Copay after deductible
Chemotherapy$350.00 Copay after deductible
Chiropractic Care$70.00
Congenital Anomaly, including Cleft Lip/Palate$350.00 Copay after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$400.00 Copay after deductible
Dental Anesthesia$70.00
Dental Check-Up for ChildrenNot covered
Diabetes Care Management$70.00
Diabetes EducationNo charge
Dialysis50.00% Coinsurance after deductible
Durable Medical EquipmentNo charge
Emergency Transportation/Ambulance50.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services$70.00
Hearing AidsNot covered
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$100.00 Copay after deductible
Infertility TreatmentNot covered
Infusion Therapy$350.00 Copay after deductible
Inpatient Physician and Surgical ServicesNo Charge after deductible
Laboratory Outpatient and Professional Services$65.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Nutrition/Formulas50.00% Coinsurance after deductible
Nutritional Counseling$70.00
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Osteoporosis$70.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$70.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$350.00 Copay after deductible
Outpatient Rehabilitation Services$70.00
Prenatal and Postnatal Care$70.00
Private-Duty NursingNot covered
Prosthetic DevicesNo charge
Radiation$350.00 Copay after deductible
Reconstructive Surgery$350.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$70.00
Rehabilitative Speech Therapy$70.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$70.00
Skilled Nursing Facility50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services$400.00 Copay per Stay after deductible
Substance Abuse Disorder Outpatient Services$55.00
Transplant$400.00 Copay after deductible
Treatment for Temporomandibular Joint Disorders$70.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$100.00 Copay after deductible

Plan rules

Service area

This plan covers 41 geographic areas.

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