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Blue Shield Access + Value HMO Plan

Oleg Skurskiy An Authorized Agent of Blue Shield of California Call : (818) 987-5000
 
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Access+ Value HMO Plan

We're expanding our HMO options for individuals and families with the competitively priced Access+ Value HMOSM Plan*. This plan was designed with young families and children in mind.

Plan highlights include:
$35 copayment for Preventive Care and Office Visits
Direct access to specialists
$2,000/$4,000 hospital deductible
Copayment for prescription after meeting prescription deductible
Access to one of the largest provider networks in California
Lifetime benefit maximum
24-hour, toll-free access to Nurseline phone consultation


* Access+ Value HMO is a service mark of Blue Shield of California. Plan rates and benefits are subject to regulatory approval.

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Access + Value In-Network Out-Of-Network
 
  • Annual Deductible  
Individual: $2,000 Family: $4,000 Not Applicable
 
  • Annual Out-Of-Pocket Limit   
Individual: $4,000 Family: $8,000 Not Applicable 
 
  • Lifetime Maximum  
Unlimited Not Applicable
 
  • Office Visits  
$35 Not Applicable
 
  • Prescription Drugs  
$10 Generic ($35 Brand Formulary + $400 Ded.) Not Applicable
 
  • Laboratory and Radiology  
$35 Not Applicable
 
  • Annual Physical Exam  
$35 Not Applicable
 
  • Annual OB-GYN Exam  
$35 Not Applicable
 
  • Well Baby Care  
$35 Not Applicable
 
  • Outpatient Surgery  
40% Not Applicable
 
  • Emergency Room  
$150 (waived if admitted) $150 (waived if admitted)
 
  • Ambulance  
$50 Not Applicable
 
  • Home Health Care  
$35 (100 visits per year) Not Applicable
 
  • Mental Health Services  
$35, $50 MHSA Specialist per visit (20 visits per year) Not Applicable
 
  • Chiropractic Care  
25% MyLifePath Discount Not Applicable
 
  • Acupuncture / Acupressure  
25% MyLifePath Discount Not Applicable
 
  • Inpatient Co-payment:  
40% per admission Not Applicable
 
  • Maternity Care
40% per admission Not Applicable
 
  • Mental Health  
40% per admission Not Applicable
 
  • Chemical Dependency  
40% per admission Not Applicable

 


Coinsurance amounts represented with a "%" are payable after the plan deductibles are reached; Co-pay amounts represented with a "$" are not subject to plan deductibles (except where noted). Refer to contract for a detailed explanation of plan benefits, features, exclusions and limitations. Benefits subject to change without notice. Co-pays, Deductibles, and Coinsurance amounts listed above are your share of the costs for covered benefits.
Do Not Cancel your current coverage until a new policy is approved and you have received written confirmation of the policy's rates and benefits from the insurance company. Rate and Benefit Disclaimer Notification! The rate and benefit information provided herein was generated by the Quotit Corporation's individual health insurance quoting system. The Quotit Corporation or It's Licensee's do not guarantee or warrant the correctness or completeness of the rate and benefit information contained herein and shall not be liable for any loss or damage arising out of use of the quoted rate and benefit information.

Additionally, information contained in this website is limited in scope, subject to change without notice, and does not contain all the terms, conditions, limitations, or exclusions of the referenced benefit plans. Only the insurance company Plan Documents and Policy's contain the exact terms and conditions of coverage. Your grant of access to the rate and benefit summaries contained herein may not be relied upon as a guarantee of your eligibility or coverage under these benefit plans.


 
   
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Copyright © 2005 Oleg Skurskiy Authorized Independent Agent, CA License 0E50389