1 янв. 2023 г. · The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan ( ...

$30 Copay for PCP or $50 Copay for Specialist; unless otherwise covered under Contraceptive. Services and Supplies described in Health. Maintenance and ...

You pay the first $1,300 of covered medical expenses (your deductible). Your 20% coinsurance on the rest of the costs ($18,700) comes to $3,740. So your total ...

$50 for prescription drug expenses per person,. $5,000 for bariatric surgery for active employees, and. $200 per service for certain non-prior authorized ...

The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for ...

The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for ...

Are expecting to have surgery or major services in the near future and want the lowest out of pocket costs; Requires regular prescription medication. There are ...

7 окт. 2024 г. · Your costs will vary depending on whether your provider is participating in the network. Please refer to Provider Finder to find in-network ...

READ YOUR POLICY CAREFULLY. — This outline of coverage provides a brief description of the important features of your Policy. This is not the insurance ...

BlueCross BlueShield of Texas offers blueaccess to UT SELECT Medical Members as the online resource for information about your medical claims, printable copies ...