AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit)

Blue Cross Blue Shield of Arizona · 2026 plan year

Silver
Ind. medical deductible
$7,500
Rx deductible (separate)
$600
Family deductible
$15,000
Ind. OOP max
$9,200
Family OOP max
$18,400

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 AZ

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

More Blue Cross Blue Shield of Arizona plans in AZ

Monthly premiums by age

Rating Area 3

AgeIndividualIndividual + tobacco
Under 15$642$642
21$839$860
30$953$976
40$1,073$1,126
50$1,499$1,611
60$2,278$2,506
64 and over$2,518$2,770

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$20.00

Specialist

BenefitIn-network
Specialist Visit$75.00

Hospital

BenefitIn-network
Emergency Room Services40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services40.00% Coinsurance after deductible
Urgent Care Centers or Facilities$60.00

Pharmacy

BenefitIn-network
Generic Drugs$3.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$75.00 Copay after deductible
Specialty Drugs50.00%

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$75.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental40.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing$75.00
Bariatric Surgery40.00% Coinsurance after deductible
Basic Dental Care - AdultNot covered
Basic Dental Care - Child50.00% Coinsurance after deductible
Chemotherapy40.00% Coinsurance after deductible
Chiropractic Care$75.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care40.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes EducationNo charge
Dialysis40.00% Coinsurance after deductible
Durable Medical Equipment40.00% Coinsurance after deductible
Emergency Transportation/Ambulance40.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services40.00% Coinsurance after deductible
Hearing Aids40.00% Coinsurance after deductible
Home Health Care Services40.00% Coinsurance after deductible
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)40.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy40.00% Coinsurance after deductible
Inpatient Physician and Surgical Services40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services40.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child50.00% Coinsurance after deductible
Nutritional CounselingNo charge
Orthodontia - AdultNot covered
Orthodontia - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)40.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40.00% Coinsurance after deductible
Outpatient Rehabilitation Services40.00% Coinsurance after deductible
Prenatal and Postnatal Care$75.00
Private-Duty Nursing40.00% Coinsurance after deductible
Prosthetic Devices40.00% Coinsurance after deductible
Radiation40.00% Coinsurance after deductible
Reconstructive Surgery40.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy40.00% Coinsurance after deductible
Rehabilitative Speech Therapy40.00% Coinsurance after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services40.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$75.00
Transplant40.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders40.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging40.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 1 geographic area.

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