Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.

Prosano Clarity Bronze

Blue Cross Blue Shield of Arizona · 2027 plan year

Expanded BronzeHSA eligible
Ind. medical deductible
$0
Rx deductible (separate)
$6,500
Family deductible
$0
Ind. OOP max
$12,000
Family OOP max
$24,000

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Monthly premiums by age

Rating Area 4 — the lowest-priced of the 2 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$401$401
21$524$537
30$595$610
40$670$703
50$936$1,007
60$1,423$1,565
64 and over$1,573$1,730

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$60.00

Specialist

BenefitIn-network
Specialist Visit$120.00

Hospital

BenefitIn-network
Emergency Room Services$2,500.00
Inpatient Hospital Services (e.g., Hospital Stay)$4000.00 Copay per Day
Outpatient Surgery Physician/Surgical Services$500.00
Urgent Care Centers or Facilities$120.00

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$4000.00 Copay per Day
Mental/Behavioral Health Outpatient Services$120.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental50.00%
AcupunctureNot covered
Allergy Testing$120.00
Bariatric Surgery$4,000.00
Basic Dental Care - AdultNot covered
Basic Dental Care - Child50.00%
Chemotherapy50.00%
Chiropractic Care$120.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$4,000.00
Dental Check-Up for ChildrenNo charge
Diabetes EducationNo charge
Dialysis50.00%
Durable Medical Equipment50.00%
Emergency Transportation/Ambulance50.00%
Eye Glasses for ChildrenNo charge
Habilitation Services50.00%
Hearing Aids50.00%
Home Health Care Services50.00%
Hospice Services50.00%
Imaging (CT/PET Scans, MRIs)$550.00
Infertility TreatmentNot covered
Infusion Therapy50.00%
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services50.00%
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child50.00%
Nutritional CounselingNo charge
Orthodontia - AdultNot covered
Orthodontia - Child50.00%
Other Practitioner Office Visit (Nurse, Physician Assistant)50.00%
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$2,000.00
Outpatient Rehabilitation Services50.00%
Prenatal and Postnatal Care$120.00
Private-Duty Nursing50.00%
Prosthetic Devices50.00%
Radiation50.00%
Reconstructive Surgery$4,000.00
Rehabilitative Occupational and Rehabilitative Physical Therapy50.00%
Rehabilitative Speech Therapy50.00%
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility50.00%
Substance Abuse Disorder Inpatient Services$4000.00 Copay per Day
Substance Abuse Disorder Outpatient Services$120.00
Transplant$4,000.00
Treatment for Temporomandibular Joint Disorders50.00%
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging50.00%

Service area

This plan covers 2 geographic areas.

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