WebJan 1, 2024 · Highmark Blue Cross Blue Shield: my Direct Blue EPO Gold 0 Coverage for: Individual/Family Plan Type: EPO The Summary of Benefits and Coverage (SBC) … WebJan 1, 2024 · Emergency Room $90 copay IN/OON Urgently Needed $30 copay IN/OON Services Office/Lab: $0 copay IN*; $40 copay OON ... (25% Coinsurance including 70% discount) After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) ... Highmark Senior Health Company is a PPO …
Summary of Premier Balance PPO $250 Platinum A a …
WebJan 1, 2024 · of Coverage — call the number on the plan page you’re looking for. How to Find a Provider or Pharmacy ... Days 1 - 3: $150 copay per day per admit & Days 4 - 90: $0 copay per day per admit IN*; Days 1 - 3: $300 copay per ... (25% Coinsurance including 70% discount) After your yearly out-of-pocket drug costs (including drugs purchased ... WebHighmark Inc. and its health insurance subsidiaries and affiliates collectively are one of America's largest health insurance organizations. Highmark Inc. and its affiliates operate … csc winter invite 2023
Summary of Benefits and Coverage: What this Plan Covers
WebHighmark Blue Shield 1-888-301-9273 PEBTF Active Members 2024 ... 70% plan payment; Covered 100% at Quest Diagnostics or Labcorp; $30 Copayment elsewhere Member pays 30% OUTPATIENT THERAPIES ... • In Network Providers agree to accept the PPO Plan Allowance as payment in full, often less than their WebJan 1, 2024 · Highmark Senior Health Company is a PPO plan with a Medicare contract. Enrollment in Highmark Senior Health Company depends on contract renewal. Health … WebJan 1, 2024 · reaches $4,130. After you enter the coverage gap, you pay 25% of the plan’s cost for covered brand name drugs and 25% of the plan’s cost for covered generic drugs until your costs total $6,550, which is the end of the coverage gap. Not everyone will enter the coverage gap. Generics (25% Coinsurance) Brand (25% Coinsurance including 70% ... csc winston salem