myBlue Silver 27M01-13V ($50 PCP Visits / $80 Specialist Visits / $15 Labs / Adult Vision / Rewards)

Florida Blue HMO (a BlueCross BlueShield FL company) · 2027 plan year

Silver
Ind. deductible
$6,400
Family deductible
$12,800
Ind. OOP max
$10,150
Family OOP max
$20,300

Compare with other Silver 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 7 — the lowest-priced of the 59 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$420$420
21$549$593
30$624$701
40$702$825
50$981$1,177
60$1,491$1,789
64 and over$1,648$1,978

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$80.00

Hospital

BenefitIn-network
Emergency Room Services50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services50.00% Coinsurance after deductible
Urgent Care Centers or Facilities$60.00

Pharmacy

BenefitIn-network
Generic Drugs$4.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Off Label Prescription Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$70.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$50.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$80.00
AcupunctureNot covered
Allergy Testing$80.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Bone Marrow Transplant50.00% Coinsurance after deductible
Chemotherapy50.00% Coinsurance after deductible
Chiropractic Care$80.00
Congenital Anomaly, including Cleft Lip/Palate50.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care50.00% Coinsurance after deductible
Dental Anesthesia$80.00
Dental Check-Up for ChildrenNot covered
Diabetes Care Management$80.00
Diabetes EducationNo charge
Dialysis50.00% Coinsurance after deductible
Durable Medical Equipment50.00% Coinsurance after deductible
Emergency Transportation/Ambulance50.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services$80.00
Hearing AidsNot covered
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)50.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$15.00
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$80.00
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Osteoporosis$80.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$80.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)50.00% Coinsurance after deductible
Outpatient Rehabilitation Services$80.00
Prenatal and Postnatal Care$80.00
Private-Duty NursingNot covered
Prosthetic Devices50.00% Coinsurance after deductible
Radiation50.00% Coinsurance after deductible
Reconstructive Surgery50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$80.00
Rehabilitative Speech Therapy$80.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$80.00
Skilled Nursing Facility$700.00 Copay per Stay
Substance Abuse Disorder Inpatient Services50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$50.00
Transplant50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders$80.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$40.00

Plan rules

Service area

This plan covers 59 geographic areas.

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