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

A detailed comparison of the Blue Cross Blue Shield of Arizona BlueValue 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 six (6) visits per member, per calendar year; PCP and specialists visits combined(After copay limit has been reached, BCBSAZ pays 70%, member pays 30% aft
    		•
  • 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 six (6) visits per member, per calendar year; PCP and specialists visits combined(After copay limit has been reached, BCBSAZ pays 70%, member pays 30% aft
    		•
  • Primary Care Physician: 50% after deductible
  • Specialist: 50% after deductible
    		•
    Deductible true Individual: $3,000, Family: $6,000 Individual: $3,500, Family: $7,000
    Coinsurance 70% after deductible 50% after deductible
    Coinsurance Limit $3,000 per member $6,000 per member
    Out-of-Pocket Maximum
    Lifetime Maximum
    Prescription Drugs Prescription Medications at Retail and Mail Order Pharmacy:
  • $500 prescription deductible per member, per calendar year, for Level 2, 3, and 4 prescription medications Retail pharmacy:
    • Level 1: $15 copay
    • Level 2: $40 copay
    • Level 3: $70
    		• Prescription Medications at Retail and Mail Order Pharmacy:
  • $500 prescription deductible per member, per calendar year, for Level 2, 3, and 4 prescription medications Retail pharmacy:
    • Level 1: $15 copay
    • Level 2: $40 copay
    • Level 3: $70
    • Emergency Room
  • Emergency: $150 access fee per member, per provider, per day, then BCBSAZ pays 70% after deductible (emergency room access fee is waived if you are admitted to the hospital)
  • Ambulance Services: 70%, deductible waived
    		•
  • Emergency: $150 access fee per member, per provider, per day, then BCBSAZ pays 70% after deductible (emergency room access fee is waived if you are admitted to the hospital)
  • Ambulance Services: 70%, deductible waived
    		•
    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 Laboratory Services (Deductible and coinsurance apply to services rendered by pathologists):
    • In a physician's office: PCP office visit copay waived if the only services you receive during your visit are laboratory services
    • At contracted, frees
    		 Laboratory Services (Deductible and coinsurance apply to services rendered by pathologists): 50% after deductible
    Maternity Maternity - Complications of Pregnancy Only: 70% after deductible Maternity - Complications of Pregnancy Only: 50% after deductible
    Physical Therapy 70% after deductible 50% after deductible
    Home Health Care 70% 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: 70% after deductible
  • Outpatient Services: 70% after deductible
    		•
  • Inpatient Hospital: 50% after deductible
  • Outpatient Services: 50% after deductible
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