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Blue Cross Blue Shield of Louisiana BlueConnect HMO – Louisiana Health Insurance Plan

A detailed comparison of the Blue Cross Blue Shield of Louisiana BlueConnect HMO 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 $25 copay Deductible then 60/40 Coinsurance
OfficeVisit Physician Office Visits: $25 copay per visit; Specialists Office Visits: $40 copay per visits. Deductible then 60/40 Coinsurance
Deductible true Single: $500, Family: $1,500 Single: $5,000, Family: $10,000
Coinsurance 100% Coinsurance 60% Coinsurance
Coinsurance Limit
Out-of-Pocket Maximum
Lifetime Maximum Unlimited Unlimited
Prescription Drugs
  • Tier 1- Retail Copayment: $7; Mail Order: $21
  • Tier 2- Retail Copayment: $30; Mail Order: $90
  • Tier 3- Retail Copayment: 10% of allowable charge up to $100; Mail Order: Not available
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  • Tier 1- Retail Copayment: $7; Mail Order: $21
  • Tier 2- Retail Copayment: $30; Mail Order: $90
  • Tier 3- Retail Copayment: 10% of allowable charge up to $100; Mail Order: Not available
    		•
    Emergency Room Emergency room Facility: $200 Copay/Visit waived if admitted Emergency room Facility: $200 Copay/Visit waived if admitted
    Adult Preventative Care No Copay, 100% Deductible then 60/40 Coinsurance
    Child Preventative Care No Copay, 100% Deductible then 60/40 Coinsurance
    Lab / X-Ray No Copay, 100% Deductible then 60/40 Coinsurance
    Maternity Not covered Not covered
    Physical Therapy Rehabilitative speech Therapy, Physical/occupational Therapy: $25 Copay Per Visit Rehabilitative speech Therapy, Physical/occupational Therapy: Deductible then 60/40 Coinsurance
    Home Health Care
  • Home Health: Deductible then 100% Coinsurance (60 visit max per calendar year)
  • Hospice : Deductible then 100% Coinsurance(180 day max)
    		•
  • Home Health: Deductible then 60/40 Coinsurance (60 visit max per calendar year)
  • Hospice : Deductible then 60/40 Coinsurance (180 day max)
    		•
    Mental Health Not covered Not covered
    Hospital Care Inpatient Services- Hospital: Deductible then 100% Coinsurance, Professional services- Deductible then 100% Coinsurance Inpatient Services- Hospital: Deductible then 60/40 Coinsurance, Professional services- Deductible then 60/40 Coinsurance
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