Silver AH
Arkansas Blue Cross and Blue Shield · 2027 plan year
Silver
- Ind. medical deductible
- $6,950
- Rx deductible (separate)
- $0
- Family deductible
- $13,900
- Ind. OOP max
- $7,150
- Family OOP max
- $14,300
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Compare with other Silver plans in AR
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Arkansas Blue Cross and Blue Shield plans in AR
Monthly premiums by age
The same in all 7 areas this plan covers.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $467 | $467 |
| 21 | $610 | $732 |
| 30 | $693 | $831 |
| 40 | $780 | $936 |
| 50 | $1,090 | $1,308 |
| 60 | $1,656 | $1,987 |
| 64 and over | $1,831 | $2,197 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $30.00 Copay after deductible |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $75.00 Copay after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $200.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $200.00 Copay per Day after deductible |
| Outpatient Surgery Physician/Surgical Services | $45.00 Copay after deductible |
| Urgent Care Centers or Facilities | $75.00 Copay after deductible |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $125.00 |
| Non-Preferred Brand Drugs | $3,000.00 |
| Off Label Prescription Drugs | 30.00% Coinsurance after deductible |
| Preferred Brand Drugs | $1,500.00 |
| Preventive Drugs | No charge |
| Specialty Drugs | $7,150.00 |
| Specialty Drugs Tier 2 | $7,150.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $200.00 Copay per Day after deductible |
| Mental/Behavioral Health Outpatient Services | $30.00 Copay after deductible |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 30.00% Coinsurance after deductible |
| Acupuncture | Not covered |
| Allergy Testing | 30.00% Coinsurance after deductible |
| Applied Behavior Analysis Based Therapies | 30.00% Coinsurance after deductible |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Chemotherapy | 30.00% Coinsurance after deductible |
| Chiropractic Care | $30.00 Copay after deductible |
| Cochlear Implants | 30.00% Coinsurance after deductible |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 30.00% Coinsurance after deductible |
| Dental Anesthesia | 30.00% Coinsurance after deductible |
| Dental Check-Up for Children | Not covered |
| Diabetes Care Management | 30.00% Coinsurance after deductible |
| Diabetes Education | No charge |
| Dialysis | 30.00% Coinsurance after deductible |
| Durable Medical Equipment | $200.00 Copay after deductible |
| Emergency Transportation/Ambulance | 30.00% Coinsurance after deductible |
| Eye Glasses for Children | 30.00% Coinsurance after deductible |
| Gastric Electrical Stimulation | 30.00% Coinsurance after deductible |
| Habilitation Services | $30.00 Copay after deductible |
| Hearing Aids | 80.00% |
| Home Health Care Services | 30.00% Coinsurance after deductible |
| Hospice Services | 30.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | $200.00 Copay after deductible |
| Infertility Treatment | 30.00% Coinsurance after deductible |
| Infusion Therapy | 30.00% Coinsurance after deductible |
| Inherited Metabolic Disorder - PKU | 30.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 30.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | $30.00 Copay after deductible |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | 30.00% Coinsurance after deductible |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $30.00 Copay after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $45.00 Copay after deductible |
| Outpatient Rehabilitation Services | $30.00 Copay after deductible |
| Prenatal and Postnatal Care | 30.00% Coinsurance after deductible |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 30.00% Coinsurance after deductible |
| Radiation | 30.00% Coinsurance after deductible |
| Reconstructive Surgery | 30.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $30.00 Copay after deductible |
| Rehabilitative Speech Therapy | $30.00 Copay after deductible |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | 30.00% Coinsurance after deductible |
| Skilled Nursing Facility | $200.00 Copay per Day after deductible |
| Substance Abuse Disorder Inpatient Services | $200.00 Copay per Day after deductible |
| Substance Abuse Disorder Outpatient Services | $30.00 Copay after deductible |
| Transplant | 30.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 30.00% Coinsurance after deductible |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| Well Child Care | No charge |
| X-rays and Diagnostic Imaging | $30.00 Copay after deductible |
Plan rules
Service area
This plan covers 1 geographic area.
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