Our Gold plans offer a robust level of coverage with lower deductibles, copays, and other cost-shares. If you visit your doctor and receive medical care regularly, consider a Gold plan. The Gold plan's higher monthly premium covers more health care costs and makes your expenses more predictable.
Plans are based on four metal levels, reflecting the percentage of costs covered. Generally, with each descending metal level, the monthly premium goes down while the out-of-pocket cost-share goes up. This Gold plan premium covers 80% of costs. The remaining 20% are out-of-pocket costs.
All premiums listed represent coverage for dependents up to age 26. 2020 plans will be available for purchase beginning on November 1, 2019.
Premium covers 80% of costs
|Individual||Individual & Child(ren)||Individual & Spouse||Family|
|Primary Care Doctor||Specialist|
|$25 after deductible||$40 after deductible|
Use our new Find a Doctor tool to discover if your doctor, specialist, or facility are in-network.
If they are not in-network, you can search to find one that is in our network of providers.
|Tier 1||$10 (Not subject to deductible)|
|Tier 2||$35 (Not subject to deductible)|
|Tier 3||$70 (Not subject to deductible)|
|Generic Oral Contraceptives||Covered in full|
|Mail Order Drugs||2.5 Copays / 90-day supply|
Surgery & Treatment
|Inpatient hospital||$1,000 after deductible|
|Outpatient hospital||$100 after deductible|
|Emergency Room||$150 after deductible|
|Ambulance||$150 after deductible|
|Urgent Care||$60 after deductible|
More than 50 free preventive services:
- Well-child visit
- Annual checkup
- Blood pressure screening
- Cholesterol screening
- Breast cancer mammography screening
- Osteoporosis screening for women over age 60
- Breast-feeding support
- Autism screening for children under 24 months
- Colorectal cancer screening
- Diet counseling
- Lead screening for children at risk of exposure
- Adolescent alcohol and drug use assessments
- Free immunizations, including influenza, measles, mumps, tetanus, and more
Free, personalized health coaching:
As a member, you have access to our health coaching team of registered nurses, nutritionists, and exercise experts who will work one-on-one with you and your family to answer questions, develop personal health plans, and connect you with the resources you need.
Personal health navigator:
This unique resource is available to you and your family members - even those who don't have BlueCross BlueShield.
$250 Wellness Debit Card:
Use your wellness debit card on your favorite health and wellness activities. You can purchase gym memberships, massage therapy, sports camps, Fitbit products, and more.
Your information 24/7:
Log into your account to compare treatment options and health care costs, change your doctor, reorder prescriptions, and much more.