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Home   >  Health Insurance Companies   >   Blue Cross Blue Shield of Texas   > BlueEdge Individual HSA - Plan VIII - Single
 
 

Blue Cross Blue Shield of Texas

BlueEdge Individual HSA - Plan VIII - Single Health Insurance Plan

A plan summary of the Blue Cross Blue Shield of Texas BlueEdge Individual HSA - Plan VIII - Single is detailed out below for both In Network and Out of Network coverage.

                                                In Network Out of Network

  Copay

No Charge after Deductible

No Charge after Deductible

  Office Visits

No Charge after Deductible No Charge after Deductible

  Annual Deductible

Individual:$5,000

Individual:$10,000

  Annual Out-Of-Pocket  Limit

Individual:$5,000

Individual:$10,000

  Lifetime Maximum

Unlimited Unlimited

  Prescription Drugs

No Charge after Medical/Rx Deductible

No Charge after Medical/Rx Deductible

  Laboratory & X-Ray

No Charge after Deductible No Charge after Deductible

  Annual Physical Exam

No Charge No Charge after Deductible

  Annual OB-GYN Exam

No Charge No Charge after Deductible

  Well Baby Care

No Charge No Charge after Deductible

  Outpatient Surgery

No Charge after Deductible No Charge after Deductible

  Emergency Room

No Charge after Deductible No Charge after Deductible

  Inpatient Hospital

No Charge after Deductible No Charge after Deductible

  Ambulance

No Charge after Deductible No Charge after Deductible

  Home Health Care

No Charge after Deductible No Charge after Deductible

  Mental Health - Outpatient

Not Covered Not Covered

  Chiropractic Care

See Brochure See Brochure

  Acupuncture

Not Covered Not Covered

  Mental Health - Inpatient

Not Covered

Not Covered

  Chemical Dependency

Not Covered Not Covered

  Maternity Care

Not Covered Not Covered

                                                                  


To learn more about your individual and family Texas health insurance options, the price of each plan and/or a detailed benefit summary of the plans, visit us here.

NOTICE! Final rates and benefits are based on actual plan selection (including plan riders you may request) and the assignment of any rate adjustment factors due to the standard health plan's underwriting guidelines.

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