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BlueCross BlueShield of Tennessee PersonalBlue L12P – Tennessee Health Insurance Plan

A detailed comparison of the BlueCross BlueShield of Tennessee PersonalBlue L12P health insurance plan as offered in Tennessee is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific BlueCross BlueShield of Tennessee plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new BlueCross BlueShield of Tennessee health insurance quote for Tennessee now or view all of our BlueCross BlueShield of Tennessee health insurance quotes.

  Network Non-Network
Copay Subject to Deductible and Coinsurance Subject to Deductible and Coinsurance
OfficeVisit
Deductible false Individual: $2,500; Family: $7,500 Individual: $2,500; Family: $7,500
Coinsurance 0% 0%
Coinsurance Limit
Out-of-Pocket Maximum
Lifetime Maximum Unlimited Unlimited
Prescription Drugs $8/$35/$60 with $500 Brand Deductible $8/$35/$60 with $500 Brand Deductible
Emergency Room $100 then Deductible / Coinsurance $100 then Deductible / Coinsurance
Adult Preventative Care 100% (no annual limit for covered services per calender year for each person covered) 100% (no annual limit for covered services per calender year for each person covered)
Child Preventative Care 100% (no annual limit for covered services per calender year for each person covered) 100% (no annual limit for covered services per calender year for each person covered)
Lab / X-Ray 100% 100%
Maternity Optional benefit Optional benefit
Physical Therapy Subject to Deductible and Coinsurance Subject to Deductible and Coinsurance
Home Health Care Subject to Deductible and Coinsurance(40 per calender year) Subject to Deductible and Coinsurance(40 per calender year)
Mental Health Inpatient Services(limited to 20 days per calender year): 100% after Deductible; Outpatient Services: 100% after Deductible Inpatient Services(limited to 20 days per calender year): 100% after Deductible; Outpatient Services: 100% after Deductible
Hospital Care Subject to Deductible and Coinsurance Subject to Deductible and Coinsurance
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