my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision

Highmark Blue Cross Blue Shield Delaware · 2026 plan year

Silver
Ind. deductible
No deductible
Family deductible
$0
Ind. OOP max
$9,700
Family OOP max
$19,400

Compare with other Silver plans in DE

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

More Highmark Blue Cross Blue Shield Delaware plans in DE

Monthly premiums by age

Rating Area 1

AgeIndividualIndividual + tobacco
Under 15$535$535
21$699$716
30$793$813
40$893$983
50$1,248$1,529
60$1,897$2,324
64 and over$2,097$2,569

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$45.00

Specialist

BenefitIn-network
Specialist Visit$45.00

Hospital

BenefitIn-network
Emergency Room Services$1,250.00
Inpatient Hospital Services (e.g., Hospital Stay)$2500.00 Copay per Stay
Outpatient Surgery Physician/Surgical Services$1,000.00
Urgent Care Centers or Facilities$90.00

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs$250.00
Preferred Brand Drugs$30.00
Specialty Drugs50.00%

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$2500.00 Copay per Stay
Mental/Behavioral Health Outpatient Services$45.00

Other

BenefitIn-network
Allergy Testing$60.00
Abortion for Which Public Funding is ProhibitedNo charge
Accidental Dental30.00%
AcupunctureNot covered
Bariatric Surgery30.00%
Basic Dental Care - Adult20.00%
Basic Dental Care - Child50.00%
Chemotherapy30.00%
Chiropractic Care20.00%
Clinical Trials30.00%
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$2,500.00
Dental Check-Up for ChildrenNo charge
Diabetes Care Management30.00%
Diabetes EducationNo charge
Dialysis30.00%
Durable Medical Equipment30.00%
Emergency Transportation/Ambulance30.00%
Eye Glasses for ChildrenNo charge
Habilitation Services$23.00
Hearing Aids30.00%
Home Health Care Services30.00%
Hospice Services30.00%
Imaging (CT/PET Scans, MRIs)$800.00
Infertility Treatment30.00%
Infusion Therapy30.00%
Inherited Metabolic Disorder - PKU30.00%
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$60.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - Adult50.00%
Major Dental Care - Child50.00%
Nutritional CounselingNo charge
Orthodontia - AdultNot covered
Orthodontia - Child50.00%
Other Practitioner Office Visit (Nurse, Physician Assistant)$45.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$1,000.00
Outpatient Rehabilitation Services$23.00
Prenatal and Postnatal CareNo charge
Private-Duty Nursing30.00%
Prosthetic Devices30.00%
Radiation30.00%
Reconstructive Surgery30.00%
Rehabilitative Occupational and Rehabilitative Physical Therapy$23.00
Rehabilitative Speech Therapy$23.00
Routine Dental Services (Adult)No charge
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility$2500.00 Copay per Stay
Substance Abuse Disorder Inpatient Services$2500.00 Copay per Stay
Substance Abuse Disorder Outpatient Services$45.00
Transplant30.00%
Treatment for Temporomandibular Joint Disorders30.00%
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$185.00

Plan rules

Service area

This plan covers 1 geographic area.

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