Blue Cross of Idaho Health Insurance in IDAHO – Health Plan Options

Blue Cross of Idaho — Essential Blue Basic PPO

A comparison of the Essential Blue Basic PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Inpatient Physician Services- 80% after deductible Outpatient Physician Services- Not covered	Inpatient Physician Services- 50% after deductible Outpatient Physician Services- Not covered
Copay	N/A	N/A
Deductible	$1,000 Individual, $2,000 Family	$1,000 Individual, $2,000 Family

Blue Cross of Idaho — Essential Blue Basic PPO

A comparison of the Essential Blue Basic PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Inpatient Physician Services- 80% after deductible Outpatient Physician Services- Not covered	Inpatient Physician Services- 50% after deductible Outpatient Physician Services- Not covered
Copay	N/A	N/A
Deductible	$2,000 Individual, $4,000 Family	$2,000 Individual, $4,000 Family

Blue Cross of Idaho — Essential Blue Basic PPO

A comparison of the Essential Blue Basic PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Inpatient Physician Services- 80% after deductible Outpatient Physician Services- Not covered	Inpatient Physician Services- 50% after deductible Outpatient Physician Services- Not covered
Copay	N/A	N/A
Deductible	$3,000 Individual, $6,000 Family	$3,000 Individual, $6,000 Family

Blue Cross of Idaho — Essential Blue Basic PPO

A comparison of the Essential Blue Basic PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Inpatient Physician Services- 80% after deductible Outpatient Physician Services- Not covered	Inpatient Physician Services- 50% after deductible Outpatient Physician Services- Not covered
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	$5,000 Individual, $10,000 Family

Blue Cross of Idaho — Essential Blue Plus

A comparison of the Essential Blue Plus offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $30 copayment (deductible and/or coinsurance for other services during physician office visit)	Physician Office Visit- 50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Copay	$30 copayment (deductible and/or coinsurance for other services during physician office visit)	50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Deductible	$1,000 Individual, $2,000 Family	$1,000 Individual, $2,000 Family

Blue Cross of Idaho — Essential Blue Plus

A comparison of the Essential Blue Plus offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $30 copayment (deductible and/or coinsurance for other services during physician office visit)	Physician Office Visit- 50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Copay	$30 copayment (deductible and/or coinsurance for other services during physician office visit)	50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Deductible	$2,000 Individual, $4,000 Family	$2,000 Individual, $4,000 Family

Blue Cross of Idaho — Essential Blue Plus

A comparison of the Essential Blue Plus offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $30 copayment (deductible and/or coinsurance for other services during physician office visit)	Physician Office Visit- 50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Copay	$30 copayment (deductible and/or coinsurance for other services during physician office visit)	50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Deductible	$3,000 Individual, $6,000 Family	$3,000 Individual, $6,000 Family

Blue Cross of Idaho — Essential Blue Plus

A comparison of the Essential Blue Plus offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Physician Office Visit- $30 copayment (deductible and/or coinsurance for other services during physician office visit)	Physician Office Visit- 50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Copay	$30 copayment (deductible and/or coinsurance for other services during physician office visit)	50% after deductible (deductible and/or coinsurance for other services during physician office visit)
Deductible	$5,000 Individual, $10,000 Family	$5,000 Individual, $10,000 Family

Blue Cross of Idaho — Blue Care PPO

A comparison of the Blue Care PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Other Services- Subject to deductible and coinsurance	Other Services- Subject to deductible and coinsurance
Copay	Physician Office Visits- $25 copayment Physician Office Visits- $30 copayment Physician Office Visits- $35 copayment	Physician Office Visits- 50% after deductible
Deductible	$1,000 Individual, $2,000 Family	$1,000 Individual, $2,000 Family

Blue Cross of Idaho — Blue Care PPO

A comparison of the Blue Care PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Other Services- Subject to deductible and coinsurance	Other Services- Subject to deductible and coinsurance
Copay	see brochure	Physician Office Visits- 50% after deductible
Deductible	$2,000 Individual, $4,000 Family	$2,000 Individual, $4,000 Family

Blue Cross of Idaho — Blue Care PPO

A comparison of the Blue Care PPO offered by Blue Cross of Idaho is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	50% after deductible
Office Visit	Other Services- Subject to deductible and coinsurance	Other Services- Subject to deductible and coinsurance
Copay	see brochure	Physician Office Visits- 50% after deductible
Deductible	$5,000 Individual, $10,000 Family	$5,000 Individual, $10,000 Family

Blue Cross of Idaho — Simply Blue

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

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	70% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	Applies to all options unless otherwise indicated.

Blue Cross of Idaho — Simply Blue

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

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	70% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	Applies to all options unless otherwise indicated.

Blue Cross of Idaho — Simply Blue

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

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	70% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	$7,500 Individual, $15,000 Family	Applies to all options unless otherwise indicated.

Blue Cross of Idaho — Simply Blue

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

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	50% after deductible
Office Visit	100% after deductible	50% after deductible
Copay	N/A	N/A
Deductible	$10,000 Individaul, $20,000 Family	Applies to all options unless otherwise indicated.