Blue Cross Blue Shield of Louisiana Blue Max PPO – Louisiana Health Insurance Plan
A detailed comparison of the Blue Cross Blue Shield of Louisiana Blue Max PPO health insurance plan as offered in Louisiana 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 Louisiana 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 Louisiana health insurance quote for Louisiana now or view all of our Blue Cross Blue Shield of Louisiana health insurance quotes.
| Network | Non-Network | |
|---|---|---|
| Copay | You pay deductible then coinsurance | You pay deductible then coinsurance |
| OfficeVisit | You pay deductible then coinsurance | You pay deductible then coinsurance |
| Deductible false | $5,000 Individual, $15,000 Family | $5,000 Individual, $15,000 Family |
| Coinsurance | 70% | 50% |
| Coinsurance Limit | ||
| Out-of-Pocket Maximum | ||
| Lifetime Maximum | Unlimited | Unlimited |
| Prescription Drugs | Separate $1,000 prescription drug deductible applies Generic drugs (and certain brand-name drugs)- $7; Brand-name drugs (and certain generic drugs)- $25; Generic or brand-name drugs with a therapeutic alternative- $45; Multi-Source Brand drugs- $60; Injec | Separate $1,000 prescription drug deductible applies Generic drugs (and certain brand-name drugs)- $7; Brand-name drugs (and certain generic drugs)- $25; Generic or brand-name drugs with a therapeutic alternative- $45; Multi-Source Brand drugs- $60; Injec |
| Emergency Room | Deductible then Coinsurance | Deductible then Coinsurance |
| Adult Preventative Care | Covered 100%- Pap smear one per year, Routine physical exam No limit, Routine mammogram, if recommended by a physician One per year,Prostate-specific antigen (PSA) test one per year for members age 50 and older | Coinsurance |
| Child Preventative Care | Covered 100% | Subject to deductible and coinsurance. |
| Lab / X-Ray | ||
| Maternity | Optional Benefit- Subject to deductible and coinsurance | Optional Benefit- Subject to deductible and coinsurance |
| Physical Therapy | Physical, Occupational Speech Therapy Rehabilitation Services: Copay or Deductible then Coinsurance | Physical, Occupational Speech Therapy Rehabilitation Services: Copay or Deductible then Coinsurance |
| Home Health Care | ||
| Mental Health | Not covered | Not covered |
| Hospital Care | Deductible then Coinsurance | Deductible then Coinsurance |
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