Blue Cross Blue Shield of Georgia Health Insurance in GEORGIA – Health Plan Options

Blue Cross Blue Shield of Georgia — Blue Value Select PPO Plan

A comparison of the Blue Value Select PPO Plan offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80%	Plan pays 60%
Office Visit	$30 copayment	Plan pays 60% after deductible is met
Copay	$30	$30
Deductible	$1,500	$1,500

Blue Cross Blue Shield of Georgia — Blue Value Select PPO Plan

A comparison of the Blue Value Select PPO Plan offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80%	Plan pays 60%
Office Visit	$30 copayment	Plan pays 60% after deductible is met
Copay	$30	$30
Deductible	$1,500	$1,500

Blue Cross Blue Shield of Georgia — Blue Value Select PPO Plan

A comparison of the Blue Value Select PPO Plan offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80%	Plan pays 60%
Office Visit	$30 copayment	Plan pays 60% after deductible is met
Copay	$30	$30
Deductible	$1,500	$1,500

Blue Cross Blue Shield of Georgia — Blue Value Select PPO Plan

A comparison of the Blue Value Select PPO Plan offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80%	Plan pays 60%
Office Visit	$30 copayment	Plan pays 60% after deductible is met
Copay	$30	$30
Deductible	$1,500	$1,500

Blue Cross Blue Shield of Georgia — Right Plan

A comparison of the Right Plan offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 60%	Plan pays 60%
Office Visit	$40 office visit copay	Plan pays 60%
Copay	$40	$40
Deductible	$0	$0

Blue Cross Blue Shield of Georgia — Premier

A comparison of the Premier offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80% after deductible	Plan pays 60% after deductible
Office Visit	$35 (Not subject to deductible)	Plan pays 60% after deductible
Copay	$35 (Not subject to deductible)	Plan pays 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Blue Cross Blue Shield of Georgia — Premier

A comparison of the Premier offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80% after deductible	Plan pays 60% after deductible
Office Visit	$35 (Not subject to deductible)	Plan pays 60% after deductible
Copay	$35 (Not subject to deductible)	Plan pays 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Blue Cross Blue Shield of Georgia — Premier

A comparison of the Premier offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80% after deductible	Plan pays 60% after deductible
Office Visit	$35 (Not subject to deductible)	Plan pays 60% after deductible
Copay	$35 (Not subject to deductible)	Plan pays 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Blue Cross Blue Shield of Georgia — Premier

A comparison of the Premier offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80% after deductible	Plan pays 60% after deductible
Office Visit	$35 (Not subject to deductible)	Plan pays 60% after deductible
Copay	$35 (Not subject to deductible)	Plan pays 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Blue Cross Blue Shield of Georgia — Premier

A comparison of the Premier offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80% after deductible	Plan pays 60% after deductible
Office Visit	$35 (Not subject to deductible)	Plan pays 60% after deductible
Copay	$35 (Not subject to deductible)	Plan pays 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Blue Cross Blue Shield of Georgia — Premier

A comparison of the Premier offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 80% after deductible	Plan pays 60% after deductible
Office Visit	$35 (Not subject to deductible)	Plan pays 60% after deductible
Copay	$35 (Not subject to deductible)	Plan pays 60% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Blue Cross Blue Shield of Georgia — SmartSense

A comparison of the SmartSense offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Blue Cross Blue Shield of Georgia — SmartSense

A comparison of the SmartSense offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Blue Cross Blue Shield of Georgia — SmartSense

A comparison of the SmartSense offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Blue Cross Blue Shield of Georgia — SmartSense

A comparison of the SmartSense offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Blue Cross Blue Shield of Georgia — SmartSense

A comparison of the SmartSense offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Blue Cross Blue Shield of Georgia — SmartSense

A comparison of the SmartSense offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Blue Cross Blue Shield of Georgia — SmartSense with Comprehensive Rx

A comparison of the SmartSense with Comprehensive Rx offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Blue Cross Blue Shield of Georgia — SmartSense with Comprehensive Rx

A comparison of the SmartSense with Comprehensive Rx offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Blue Cross Blue Shield of Georgia — SmartSense with Comprehensive Rx

A comparison of the SmartSense with Comprehensive Rx offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Blue Cross Blue Shield of Georgia — SmartSense with Comprehensive Rx

A comparison of the SmartSense with Comprehensive Rx offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Blue Cross Blue Shield of Georgia — SmartSense with Comprehensive Rx

A comparison of the SmartSense with Comprehensive Rx offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Blue Cross Blue Shield of Georgia — SmartSense with Comprehensive Rx

A comparison of the SmartSense with Comprehensive Rx offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70% after deductible (Plan pays 100% after OOP Max is met)	Plan pays 60% after deductible (Plan pays 100% after OOP Max is met)
Office Visit	$30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Copay	Physician Office Visit- $30 Copay for first 3 visits per person per calendar year, then Plan pays 70% after deductible.	Plan pays 60% (subject to deductible except for child wellness)
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Blue Cross Blue Shield of Georgia — Tonik 1500 - Calculated Risk Taker

A comparison of the Tonik 1500 - Calculated Risk Taker offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	$40 Copay (not subject to ded, however, the copayment will continue to be required after the deductible is met)	70% of eligible charges, (not subject to ded)
Copay	$40 Copay (not subject to ded, however, the copayment will continue to be required after the deductible is met)	70% of eligible charges, (not subject to ded)
Deductible	$1,500	$1,500

Blue Cross Blue Shield of Georgia — Tonik 3000 - Part-Time Daredevil

A comparison of the Tonik 3000 - Part-Time Daredevil offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	$30 Copay for first 4 office visits in a calendar year then member pays negotiated fee rate until the deductible is met at which time benefits are payable at 100% with no copay.	70% of eligible charges for the first 4 visits in a calendar year not subject to deductible. Member pays all charges for subsequent visits until the deductible is met. Once the deductible is met the plan pays 70% of eligible charges.
Copay	$30 Copay for first 4 office visits in a calendar year then member pays negotiated fee rate until the deductible is met at which time benefits are payable at 100% with no copay.	70% of eligible charges for the first 4 visits in a calendar year not subject to deductible. Member pays all charges for subsequent visits until the deductible is met. Once the deductible is met the plan pays 70% of eligible charges.
Deductible	$3,000	$3,000

Blue Cross Blue Shield of Georgia — Tonik 5000 - Thrill Seeker

A comparison of the Tonik 5000 - Thrill Seeker offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	$20 Copay for first 4 office visits in a calendar year then member pays negotiated fee rate until the deductible is met at which time benefits are payable at 100% with no copay.	70% of eligible charges for the first 4 visits in a calendar year not subject to deductible. Member pays all charges for subsequent visits until the deductible is met. Once the deductible is met the plan pays 70% of eligible charges.
Copay	$20 Copay for first 4 office visits in a calendar year then member pays negotiated fee rate until the deductible is met at which time benefits are payable at 100% with no copay.	70% of eligible charges for the first 4 visits in a calendar year not subject to deductible. Member pays all charges for subsequent visits until the deductible is met. Once the deductible is met the plan pays 70% of eligible charges.
Deductible	$5,000	$5,000

Blue Cross Blue Shield of Georgia — Blue Value 3000

A comparison of the Blue Value 3000 offered by Blue Cross Blue Shield of Georgia is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan pays 70%	Plan pays 60%
Office Visit	$40 copay for first 6 visits; first 6 visits not subject to calendar year deductible. After 6 visits, Plan pays 70% after deductible is met. Includes x-ray/lab work when performed and billed in physician's office.	Plan pays 60% after deductible is met. Includes x-ray/lab work when performed and billed in physician's office.
Copay	$40 copay for first 6 visits; first 6 visits not subject to calendar year deductible. After 6 visits, Plan pays 70% after deductible is met. Includes x-ray/lab work when performed and billed in physician's office.	Plan pays 60% after deductible is met. Includes x-ray/lab work when performed and billed in physician's office.
Deductible	$3,000 (Three deductibles per family)	$6,000 (Three deductibles per family)