Quick Links
See how easy it is to get free quotes…
Safe, Secure & Absolutely FreeThis website's security is certifed by:
Blue Cross and Blue Shield of Texas – Foundation Hospital Care – TEXAS
A comparison of the Foundation Hospital Care offered by Blue Cross and Blue Shield of Texas is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
||
| Network | See Provider | See Provider |
| Application | Foundation Hospital Care Application | Foundation Hospital Care Application |
| Brochure | Foundation Hospital Care Brochure | Foundation Hospital Care Brochure |
| Copay | N/A | N/A |
| Office Visit | Not Covered | Not Covered |
| Deductible | Individual: $5,000, Family: $15,000 | Individual: $10,000, Family: $30,000 |
| Coinsurance | BCBSTX pays 80%, insured pays 20% | BCBSTX pays 60%, insured pays 40% |
| Coinsurance Limit | Foundation Hospital Care | Foundation Hospital Care |
| Out-of-Pocket Maximum | Coinsurance Maximum: Individual- $5,000, Family- $15,000 | Coinsurance Maximum: Individual- $10,000, Family- $30,000 |
| Lifetime Maximum | $2,000,000 per insured | $2,000,000 per insured |
| Prescription Drugs | Outpatient- Not Covered | Outpatient- Not Covered |
| Emergency Room | Accident and Medical Emergency Care within 48 hours: Facility Charges- 80% of allowable amount after $200 copayment and calendar year deductible. Physician Charges- Not Covered. | Accident and Medical Emergency Care within 48 hours: Facility Charges- 80% of allowable amount after $200 copayment and calendar year deductible. Physician Charges- Not Covered. |
| Adult Preventative Care | Not Covered | Not Covered |
| Child Preventative Care | Not Covered | Not Covered |
| Lab / X-Ray | Outpatient- Not Covered | Outpatient- Not Covered |
| Maternity | Foundation Hospital Care | Foundation Hospital Care |
| Physical Therapy | Not Covered | Not Covered |
| Skilled Nursing | $10,000 each Calendar Year (must be preauthorized). 100% of allowable amount. No Deductible. | $10,000 each Calendar Year (must be preauthorized). 70% of allowable amount after pre-admission deductible and calendar year deductible. |
| Home Health Care | Not Covered | Not Covered |
| Mental Health | Not Covered | Not Covered |
| Hospital Care | Inpatient Hospital Services (must be preauthorized)- 80% of allowable amount after calendar year deductible | Inpatient Hospital Services (must be preauthorized)- 60% of allowable amount after pre-admission deductible and calendar year deductible |
| Optional Benefits | None | None |