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

A detailed comparison of the Blue Cross Blue Shield of Arizona BlueOptimum 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
  • Primary Care Physician: 60% after deductible
  • Specialist: 60% after deductible
  • OfficeVisit
  • Primary Care Physician: $30 copay
  • Specialist: $50 copay
  • Primary Care Physician: 60% after deductible
  • Specialist: 60% after deductible
  • Deductible true Individual: $2,000, Family: $4,000 Individual: $2,500, Family: $5,000
    Coinsurance 80% after deductible 60% after deductible
    Coinsurance Limit $2,500 per member $5,000 per member
    Out-of-Pocket Maximum
    Lifetime Maximum
    Prescription Drugs Prescription Medications at Retail and Mail Order Pharmacy:
    • Level 1: $15 copay
    • Level 2: $40 copay
    • Level 3: $70 copay
    • Level 4: $120 copay
    Mail order:
    • Level 1: $15 copay
    • Level 2: $70 copay
    • Level 3: $195 copay
    • Lev
    Prescription Medications at Retail and Mail Order Pharmacy:
    • Level 1: $15 copay
    • Level 2: $40 copay
    • Level 3: $70 copay
    • Level 4: $120 copay
    Mail order:
    • Level 1: $15 copay
    • Level 2: $70 copay
    • Level 3: $195 copay
    • Lev
    Emergency Room
  • Emergency: $150 access fee per member, per provider, per day, then BCBSAZ pays 80% after deductible (emergency room access fee is waived if you are admitted to the hospital)
  • Ambulance Services: 80%, deductible waived
  • Emergency: $150 access fee per member, per provider, per day, then BCBSAZ pays 80% after deductible (emergency room access fee is waived if you are admitted to the hospital)
  • Ambulance Services: 80%, deductible waived
  • Adult Preventative Care Preventive Services (Certain Screening Services, Immunizations, Routine Physicals, Mammography): BCBSAZ pays 100% for covered services. 60%/40% after meeting deductible for mammography and foreign travel immunizations; all other preventive services not covered.
    Child Preventative Care
    Lab / X-Ray Laboratory Services (Deductible and coinsurance apply to services rendered by pathologists):
    • In a physician's office: 100%; office visit copay waived, if the only services you receive during your visit are laboratory services
    • At contracted, fr
    Laboratory Services (Deductible and coinsurance apply to services rendered by pathologists): 60% after deductible
    Maternity Maternity - Complications of Pregnancy Only: 80% after deductible Maternity - Complications of Pregnancy Only: 60% after deductible
    Physical Therapy 80% after deductible 60% after deductible
    Home Health Care 80% after deductible 60% 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: 80% after deductible
  • Outpatient Services: 80% after deductible
  • Inpatient Hospital: 60% after deductible
  • Outpatient Services: 60% after deductible
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