Health Insurance Summary & Rates
| BCBST Network S | Search for providers: Click Here |
|---|---|
| Deductible | $5,000 individual $10,000 family |
| Out of Pocket Max | $5,000 individual $10,000 family |
| In Network Benefits: | You Pay: |
| Office Visit- Primary Care Physician | no charge after Deductible |
| Office Visit – Specialist | no charge after Deductible |
| Office Visit – Wellcare | $0 |
| Emergency Room | no charge after Deductible |
| Hospital Services – Inpatient | no charge after Deductible |
| Hospital Services – Outpatient | no charge after Deductible |
| Prescription Drugs | no charge after Deductible |
| Rate Per Week | |
| Employee Only | $45.60 |
| Employee + Spouse | $135.17 |
| Employee + Child(ren) | $113.18 |
| Family (emp + child(ren) + spouse) | $211.30 |