BlueCare Bronze (HSA) 24K01-25 ($50 PCP Visits / Rewards)

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

Expanded BronzeHSA eligible
Ind. medical deductible
$0
Rx deductible (separate)
$3,000
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.

Compare with other Expanded Bronze 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 16 — the lowest-priced of the 35 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$474$474
21$619$669
30$703$791
40$791$930
50$1,106$1,327
60$1,681$2,017
64 and over$1,858$2,229

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 Illness$50.00

Specialist

BenefitIn-network
Specialist Visit$95.00

Hospital

BenefitIn-network
Emergency Room Services$1,975.00
Inpatient Hospital Services (e.g., Hospital Stay)$3400.00 Copay per Day
Outpatient Surgery Physician/Surgical Services$300.00
Urgent Care Centers or Facilities$65.00

Pharmacy

BenefitIn-network
Generic Drugs$15.00
Non-Preferred Brand Drugs47.00% Coinsurance after deductible
Off Label Prescription Drugs47.00% Coinsurance after deductible
Preferred Brand Drugs$300.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$3400.00 Copay per Day
Mental/Behavioral Health Outpatient Services$95.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$95.00
AcupunctureNot covered
Allergy Testing$95.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Bone Marrow Transplant$3,400.00
Chemotherapy$1,975.00
Chiropractic Care$95.00
Congenital Anomaly, including Cleft Lip/Palate$1,975.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$3,400.00
Dental Anesthesia$95.00
Dental Check-Up for ChildrenNot covered
Diabetes Care Management$95.00
Diabetes Education$95.00
Dialysis$1,975.00
Durable Medical EquipmentNo charge
Emergency Transportation/Ambulance50.00%
Eye Glasses for ChildrenNo charge
Habilitation Services$95.00
Hearing AidsNot covered
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$500.00
Infertility TreatmentNot covered
Infusion Therapy$1,975.00
Inpatient Physician and Surgical Services$300.00
Laboratory Outpatient and Professional Services$55.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Nutrition/Formulas$95.00
Nutritional Counseling$95.00
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Osteoporosis$95.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$95.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$1,975.00
Outpatient Rehabilitation Services$95.00
Prenatal and Postnatal Care$95.00
Private-Duty NursingNot covered
Prosthetic DevicesNo charge
Radiation$1,975.00
Reconstructive Surgery$1,975.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$95.00
Rehabilitative Speech Therapy$95.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$95.00
Skilled Nursing Facility50.00%
Substance Abuse Disorder Inpatient Services$3400.00 Copay per Day
Substance Abuse Disorder Outpatient Services$95.00
Transplant$3,400.00
Treatment for Temporomandibular Joint Disorders$95.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$200.00

Plan rules

Service area

This plan covers 35 geographic areas.

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