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Blue Cross Blue Shield of Louisiana CommunityBlue – Louisiana Health Insurance Plan

A detailed comparison of the Blue Cross Blue Shield of Louisiana CommunityBlue 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 $40 copay Deductible then 80/20 Coinsurance
OfficeVisit Physician Office Visits: $40 copay per visit; Specialists Office Visits: $55 copay per visits. Deductible then 80/20 Coinsurance
Deductible true Single: $1,500, Family: $4,500 Single: $250, Family: $750
Coinsurance 80% Coinsurance 80% 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: $70; Mail Order: $210
  • Tier 4- Retail Copayment: 10% 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: $70; Mail Order: $210
  • Tier 4- Retail Copayment: 10% up to $100; Mail Order: Not available
    		•
    Emergency Room
  • Emergency room Facility: $350 Copay/Visit waived if admitted
  • Ambulance: $50 Copay Per Day Per Provider
  • Urgent Care Center: $60 Copay Per Visit
    		•
  • Emergency room Facility: Deductible then 80/20 Coinsurance
  • Ambulance: Deductible then 80/20 Coinsurance
  • Urgent Care Center: Deductible then 80/20 Coinsurance
    		•
    Adult Preventative Care No Copay, 100% 100%
    Child Preventative Care No Copay, 100% 100%
    Lab / X-Ray 100% Deductible then 80/20 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 80/20 Coinsurance
    Home Health Care
  • Home Health: Deductible then 80/20 Coinsurance (60 visit max per calendar year)
  • Hospice : Deductible then 80/20 Coinsurance (180 Day Max Per Calendar Year)
    		•
  • Home Health: Deductible then 80/20 Coinsurance (60 visit max per calendar year)
  • Hospice : Deductible then 80/20 Coinsurance (180 Day Max Per Calendar Year)
    		•
    Mental Health Not covered Not covered
    Hospital Care Inpatient Services- Hospital: Deductible then 80/20 Coinsurance, Inpatient Rehabilitation: Deductible then 80/20 Coinsurance Inpatient Services- Hospital: Deductible then 80/20 Coinsurance, Inpatient Rehabilitation: Deductible then 80/20 Coinsurance
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