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Blue Cross Blue Shield of Arizona BlueEssential Plus – Arizona Health Insurance Plan

A detailed comparison of the Blue Cross Blue Shield of Arizona BlueEssential Plus health insurance plan as offered in Arizona is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Blue Cross Blue Shield of Arizona plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Blue Cross Blue Shield of Arizona health insurance quote for Arizona now or view all of our Blue Cross Blue Shield of Arizona health insurance quotes.

  Network Non-Network
Copay
  • Primary Care Physician: $30 copay
  • Specialist: $50 copay
  • Office visit copay is limited to three (3) visits per member, per calendar year; PCP and specialists visits combined
    		•
  • Primary Care Physician: 50% after deductible
  • Specialist: 50% after deductible
    		•
    OfficeVisit
  • Primary Care Physician: $30 copay
  • Specialist: $50 copay
  • Office visit copay is limited to three (3) visits per member, per calendar year; PCP and specialists visits combined(After copay limit has been reached, BCBSAZ pays 60%, member pays 40% a
    		•
  • Primary Care Physician: 50% after deductible
  • Specialist: 50% after deductible
    		•
    Deductible true Individual: $500, Family: $1,000 Individual: $1,000, Family: $2,000
    Coinsurance 60% after deductible 50% after deductible
    Coinsurance Limit $4,000 per member $8,000 per member
    Out-of-Pocket Maximum
    Lifetime Maximum
    Prescription Drugs Prescription Medications at Retail and Mail Order Pharmacy:
    • Generic medications: Retail pharmacy - $15 copay; Mail order - $15 copay
    • Brand name medications: Retail pharmacy - $125 copay; Mail order - $250 copay
    		 Prescription Medications at Retail and Mail Order Pharmacy:
    • Generic medications: Retail pharmacy - $15 copay; Mail order - $15 copay
    • Brand name medications: Retail pharmacy - $125 copay; Mail order - $250 copay
    Emergency Room
  • Emergency: $150 access fee per member, per provider, per day, then BCBSAZ pays 60% after deductible (emergency room access fee is waived if you are admitted to the hospital)
  • Ambulance Services: 60% after deductible
    		•
  • Emergency: $150 access fee per member, per provider, per day, then BCBSAZ pays 60% after deductible (emergency room access fee is waived if you are admitted to the hospital)
  • Ambulance Services: 60% after deductible
    		•
    Adult Preventative Care Preventive Services (Certain Screening Services, Immunizations, Routine Physicals, Mammography): BCBSAZ pays 100% for covered services. 50% after meeting deductible for mammography and foreign travel immunizations; all other preventive services not covered.
    Child Preventative Care
    Lab / X-Ray Diagnostic Laboratory Services (Deductible and coinsurance apply to services rendered by pathologists.): In a physician's office, if the copay limit is not yet met, physician office visit copay is waived if laboratory services are the only services receiv Laboratory Services (Deductible and coinsurance apply to services rendered by pathologists): 50% after deductible
    Maternity Maternity - Complications of Pregnancy Only: 60% after deductible Maternity - Complications of Pregnancy Only: 50% after deductible
    Physical Therapy 60% after deductible 50% after deductible
    Home Health Care 60% after deductible 50% after deductible
    Mental Health Behavioral and Mental Health Services:
  • Outpatient: You may choose in-network or out-of-network providers or the behavioral services administrator (BSA)
    • BSA: $15 copay per visit for psychotherapy and counseling
    • Non BSA: In-network and out-o
    		•  Behavioral and Mental Health Services:
  • Outpatient: You may choose in-network or out-of-network providers or the behavioral services administrator (BSA)
    • BSA: $15 copay per visit for psychotherapy and counseling
    • Non BSA: In-network and out-o
    		•
    Hospital Care
  • Inpatient Hospital: 60% after deductible
  • Outpatient Services: 60% after deductible
    		•
  • Inpatient Hospital: 50% after deductible
  • Outpatient Services: 50% after deductible
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