BlueEssential Plan

High-deductible plan for individuals under age 30

Special Enrollment

Consider this plan if

You are under age 30 and simply need a plan that covers preventive visits and protects you from financial ruin if you experience a serious accident or illness.

Coverage available for:

Individuals and families under age 30

Plan features

Preventive care, screening and immunization coverage
Your first three doctor office visits have a low copay
For expenses such as prescription drugs, hospital visits and other care, you pay 100% until you reach your out-of-pocket maximum for the year
Wellness rewards to keep you healthy
Covers the 10 essential health benefits

Plan highlights

A high-deductible health plan
Not eligible to be paired with a health savings account
Based on care received in the Preferred Provider Network
Free preventive visits
Includes HealthyBlue online wellness center for managing your health

Catastrophic Plan

BlueEssential

Cost sharing amounts apply to covered services you receive within the Preferred Blue PPO network.
The BlueEssential plan prescription drug coverage is not considered creditable coverage.
Drug formularies and drug listings are reviewed on an ongoing basis and subject to change.
*After deductible is met.

Deductible

Individual: $9,100
Family: $18,200

Coinsurance

0% of total cost*

Out-of-Pocket Maximums

Individual: $9,100
Family: $18,200

Preventive Visits

HealthyBlue Online Wellness

Doctor Visits

$50 for first three visits. Subsequent visits subject to deductible.

Chiropractic Care, Physical, Speech and Occupational Therapy

0% of total cost*

Prescription Drugs

Preferred Generic: 0% of total cost*
Non-Preferred Generic: 0% of total cost*
Preferred Brand: 0% of total cost*
Non-Preferred Brand: 0% of total cost*
Preferred Specialty: 0% of total cost*
Non-Preferred Specialty: 0% of total cost*

Emergency Room Visit

0% of total cost*

Hospitalization

0% of total cost*

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