Blue Saver Bronze

Compare and Enroll

Common Plan Benefits

- Calendar Year Deductible: $7,150 Individual / $14,300 Family

- Out-of-Pocket Maximum: $7,150 Individual / $14,300 Family

- Convenient Phone & Video Consultations through Teladoc™ ?

Financial Assistance Available for this Plan

 

What You Would Pay For In-Network Services:

Complete In-Network and Out-of-Network benefits are listed in the Benefit Booklet.

You Pay:

  • First three illness-related office visits per member:
    $40 copay

    Thereafter:
    0% after meeting the calendar year deductible

We Pay:

  • First three illness-related office visits per member:
    100% after the copay

    Thereafter:
    100% after meeting the calendar year deductible

Understand Copays vs Coinsurance

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

  • First three illness-related office visits per member

    • You Pay:
      $40 copay
    • We Pay:
      100% after the copay
  • Thereafter

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible

Understand Copays vs Coinsurance

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

For complete coverage details see the Prescription Drug List for this plan.

  • Tier 1

    • You Pay:
      $20 copay
    • We Pay:
      100% after the copay
  • Tier 2

    • You Pay:
      $35 copay
    • We Pay:
      100% after the copay
  • Tier 3

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 4

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 5

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible
  • Tier 6

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible

Understand Copays vs Coinsurance

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

IMPORTANT: Use a Select Lab Network to provide services under your plan.

  • You Pay:
    0% after meeting the calendar year deductible
  • We Pay:
    100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Learn More About Preventive Services and Preventive Drugs coverage for this plan.

  • You Pay:
    $0
  • We Pay:
    100%

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Limited to members up to the end of the month in which the member turns 19.

  • Routine Dental Cleaning

    • You Pay:
      0%
    • We Pay:
      100%
  • Yearly Eye Exam

    • You Pay:
      0% after meeting the calendar year deductible
    • We Pay:
      100% after meeting the calendar year deductible

Benefits listed apply to in-network services. In-Network services outside of Alabama may vary.

Don't forget...

We also offer Dental, Vision and Travel insurance.