Blue Cross® Select HMO Silver - 98185MI0440016 Health Insurance Plan
Blue Care Network of Michigan health insurance plan with the Plan ID 98185MI0440016. The plan is called Blue Cross® Select HMO Silver.
Based on the data of Health Plan Issuer, this plan has an actuarial value of 70.01% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 29.99% of the costs of all covered benefits (according to the Issuer).
Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 70.10% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 29.90% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.
| Health Insurance Plan ID | 98185MI0440016 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2025 | ||||||||||||||||||
| State | Michigan | ||||||||||||||||||
| Health Insurance Issuer | Blue Care Network of Michigan | ||||||||||||||||||
| Plan Formulary Description URL | Formulary URL | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Health Insurance Plan Variant | 98185MI0440016-00 | ||||||||||||||||||
| Provider Network(s) | NULL | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 16 Sep 2025 15:17 GMT). |
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| Available Variants of the Health Plan | Standard Off Exchange Plan - 98185MI0440016-00 Standard On Exchange Plan - 98185MI0440016-01 Open to Indians below 300% FPL - 98185MI0440016-02 Open to Indians above 300% FPL - 98185MI0440016-03 73% AV Silver Plan - 98185MI0440016-04 |
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| Last Plan Update Date | Wed, 14 Aug 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 16 Sep 2025 15:17 GMT |
Benefits of Blue Cross® Select HMO Silver Health Insurance Plan, 98185MI0440016-00
| Benefit | Covered | In Network | Out Of Network |
|---|---|---|---|
| Abortion for Which Public Funding is Prohibited
Exclusions: nan nan |
NO | ||
| Accidental Dental
Exclusions: nan Accidental injury and emergency only. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Acupuncture
Exclusions: nan nan |
NO | ||
| Allergy Testing
Exclusions: nan In network only if at a physican's office. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Bariatric Surgery
Limit: 1.0 Procedure(s) per Lifetime Exclusions: nan Subject to BCN medical criteria. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Basic Dental Care - Adult
Exclusions: nan nan |
NO | ||
| Basic Dental Care - Child
Exclusions: nan nan |
NO | ||
| Chemotherapy
Exclusions: nan nan |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Chiropractic Care
Limit: 30.0 Visit(s) per Year Exclusions: nan Spinal manipulation limit is not combined with Occupational Therapy and Physical Therapy; limit includes services provided by an osteopathic provider. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Cosmetic Surgery
Exclusions: nan nan |
NO | ||
| Delivery and All Inpatient Services for Maternity Care
Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Dental Check-Up for Children
Exclusions: nan nan |
NO | ||
| Diabetes Education
Exclusions: nan Follow Medicare guidelines. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Dialysis
Exclusions: nan nan |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Durable Medical Equipment
Exclusions: Excludes bath, exercise and deluxe equipment and comfort and convenience items. Prescription is required. Rental and purchase limited to basic equipment. Prior authoriztion required. The penalty for not having prior authorization is denial of payment. Breast pumps are covered in full when preauthorized. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Emergency Room Services
Exclusions: nan Emergency room visits will be covered at non-participating facilities for medical emergencies and accidental injuries only. Copayment waived if admitted inpatient into the hospital. |
YES | $250.00 Copay after deductible, 20.00% Coinsurance after deductible |
$250.00 Copay after deductible, 20.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance
Exclusions: Transportation for convenience. Includes air and ground transportation. |
YES | 20.00% Coinsurance after deductible |
20.00% Coinsurance after deductible |
| Eye Glasses for Children
Limit: 1.0 Item(s) per Year Exclusions: nan Out of network is paid up to the allowed amount. A child is defined as a member up to age 19. |
YES | No Charge |
100.00% |
| Gender Affirming Care
Exclusions: Cosmetic surgery, investigational and experimental procedures. May require prior authorization. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Generic Drugs
Exclusions: Quantity limits per fill may apply for 30-day retail, 90-day retail, and 90-day mail order. Opioid containing medications are limited to no more than a 30-day supply per fill and first fills of select opioid containing medications will be limited to a 5-day supply. Refer to drug list for quantity limits and other exclusions. May require prior authorization & step therapy. The penalty for not having prior authorization is denial of payment. No charge for Tier 1A contraceptives. Any coupon, rebate, or other credits received directly or indirectly from an assistance program or the drug manufacturer may not be applied to a consumers deductible, cost-sharing or out of pocket maximum |
YES | $4.00 Copay after deductible |
100.00% |
| Habilitation Services
Limit: 30.0 Visit(s) per Year Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. Physical Therapy/Occupational Therapy- combined 30 visits per calendar year; 30 visits for Speech Therapy per calendar year. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Hearing Aids
Exclusions: nan nan |
NO | ||
| Home Health Care Services
Exclusions: Housekeeping Services. Services for the purposes of custodial care. BCN approved providers only. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Hospice Services
Exclusions: Housekeeping services. Room and board at an extended care facility or hospice facility for the purposes of delivering Custodial Care. Prior authorization required. The penalty for not having prior authorization is denial of payment. BCN participating hospice programs only. Coverage includes inpatient and outpatient hospice care. |
YES | No Charge after deductible |
100.00% |
| Imaging (CT/PET Scans, MRIs)
Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Infertility Treatment
Exclusions: Artificial Insemination and In-Vitro Fertilization. Prior authorization required. The penalty for not having prior authorization is denial of payment. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Infusion Therapy
Exclusions: nan BCN approved providers only. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Inpatient Hospital Services (e.g., Hospital Stay)
Exclusions: nan Prior authorization required. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Inpatient Physician and Surgical Services
Exclusions: nan Prior authorization required. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Laboratory Outpatient and Professional Services
Exclusions: nan May require prior authorization. The penalty for not having prior authorization is denial of payment. |
YES | No Charge |
100.00% |
| Long-Term/Custodial Nursing Home Care
Exclusions: nan nan |
NO | ||
| Major Dental Care - Adult
Exclusions: nan nan |
NO | ||
| Major Dental Care - Child
Exclusions: nan nan |
NO | ||
| Mental/Behavioral Health Inpatient Services
Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Mental/Behavioral Health Outpatient Services
Exclusions: nan Copayment applies to providers office, virtual visit and applied behavior analysis (ABA) treatment by participating BCN provider and Blue Cross online visit from BCN selected vendor only. Additional services are subject to the plan's deductible and coinsurance. Prior authorization is not required for outpatient, office and online visits. Prior authorization is required for other outpatient services. |
YES | $30.00 |
100.00% |
| Non-Preferred Brand Drugs
Exclusions: Quantity limits per fill may apply for 30-day retail, 90-day retail, and 90-day mail order. Opioid containing medications are limited to no more than a 30-day supply per fill and first fills of select opioid containing medications will be limited to a 5-day supply. Refer to drug list for quantity limits and other exclusions. May require prior authorization & step therapy. The penalty for not having prior authorization is denial of payment. No charge for Tier 1A contraceptives. Any coupon, rebate, or other credits received directly or indirectly from an assistance program or the drug manufacturer may not be applied to a consumers deductible, cost-sharing or out of pocket maximum |
YES | $150.00 Copay after deductible |
100.00% |
| Non-Preferred Generic Drugs
Exclusions: Quantity limits per fill may apply for 30-day retail, 90-day retail, and 90-day mail order. Opioid containing medications are limited to no more than a 30-day supply per fill and first fills of select opioid containing medications will be limited to a 5-day supply. Refer to drug list for quantity limits and other exclusions. May require prior authorization & step therapy. The penalty for not having prior authorization is denial of payment. No charge for Tier 1A contraceptives. Any coupon, rebate, or other credits received directly or indirectly from an assistance program or the drug manufacturer may not be applied to a consumers deductible, cost-sharing or out of pocket maximum |
YES | $20.00 Copay after deductible |
100.00% |
| Non-Preferred Specialty Drugs
Exclusions: Specialty drugs are limited to a 30-day supply per fill, however some may be limited to a 15-day supply fill, depending on the medication Refer to drug list for quantity limits and other exclusions. BCN has contracted with an exclusive pharmacy network for specialty drugs. Call the customer service phone number on the back of your ID card for the pharmacys phone number or location nearest to you. If you obtain your specialty drugs from any other pharmacy, you are responsible for the total cost. Prior authorization, step therapy and quantity limits may apply to select drugs. The penalty for not having prior authorization is denial of payment. Any coupon, rebate, or other credits received directly or indirectly from an assistance program or the drug manufacturer may not be applied to a consumers deductible, cost-sharing or out of pocket maximum |
YES | 45.00% Coinsurance after deductible |
100.00% |
| Nutritional Counseling
Exclusions: nan Dietician Services. |
YES | No Charge |
100.00% |
| Orthodontia - Adult
Exclusions: nan nan |
NO | ||
| Orthodontia - Child
Exclusions: nan nan |
NO | ||
| Other Practitioner Office Visit (Nurse, Physician Assistant)
Exclusions: nan Includes virtual, retail health clinic and medical evaluation at an affiliated immunization pharmacy visits. No charge for 24/7 medical virtual visits when performed through the BCN selected vendor app, except HSA eligible plans have no charge after deductible. Diagnostic services are not included in the office visit copayment. These services are subject to the plan's deductible. |
YES | $30.00 |
100.00% |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Exclusions: Cosmetic surgery, corrective eye surgery, investigational and experimental procedures. May require prior authorization. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Outpatient Rehabilitation Services
Limit: 30.0 Visit(s) per Year Exclusions: nan Prior authoriztion required.The penalty for not having prior authorization is denial of payment. Physical Therapy/Occupational Therapy- combined 30 visits per calendar year; 30 visits for Speech Therapy per calendar year. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Outpatient Surgery Physician/Surgical Services
Exclusions: Cosmetic surgery, corrective eye surgery, investigational and experimental procedures. May require prior authorization. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Preferred Brand Drugs
Exclusions: Quantity limits per fill may apply for 30-day retail, 90-day retail, and 90-day mail order. Opioid containing medications are limited to no more than a 30-day supply per fill and first fills of select opioid containing medications will be limited to a 5-day supply. Refer to drug list for quantity limits and other exclusions. May require prior authorization & step therapy. The penalty for not having prior authorization is denial of payment. No charge for Tier 1A contraceptives. Any coupon, rebate, or other credits received directly or indirectly from an assistance program or the drug manufacturer may not be applied to a consumers deductible, cost-sharing or out of pocket maximum |
YES | $100.00 Copay after deductible |
100.00% |
| Prenatal and Postnatal Care
Exclusions: nan Cost sharing does not apply for preventive services. Depending on the type of services, a copayment, coinsurance, or deductible may apply. |
YES | No Charge |
100.00% |
| Preventive Care/Screening/Immunization
Exclusions: Care and services not defined as preventive under PPACA. May require prior authorization. The penalty for not having prior authorization is denial of payment. You may have to pay for services that arent preventive. Ask your provider if the services needed are preventive. Then check what your plan will pay for. |
YES | No Charge |
100.00% |
| Primary Care Visit to Treat an Injury or Illness
Exclusions: nan Includes virtual, retail health clinic and medical evaluation at an affiliated immunization pharmacy visits. No charge for 24/7 medical virtual visits when performed through the BCN selected vendor app, except HSA eligible plans have no charge after deductible. Diagnostic services are not included in the office visit copayment. These services are subject to the plan's deductible. |
YES | $30.00 |
100.00% |
| Private-Duty Nursing
Exclusions: nan nan |
NO | ||
| Prosthetic Devices
Exclusions: nan BCN approved providers only. Limited to the basic items; replacement is limited to items that cannot be repaired or modified |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Radiation
Exclusions: nan nan |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Reconstructive Surgery
Exclusions: nan Covered only when medically necessary. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy
Limit: 30.0 Visit(s) per Year Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. Physical Therapy/Occupational Therapy- combined 30 visits per calendar year; 30 visits for Speech Therapy per calendar year. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Rehabilitative Speech Therapy
Limit: 30.0 Visit(s) per Year Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. Physical Therapy/Occupational Therapy- combined 30 visits per calendar year; 30 visits for Speech Therapy per calendar year. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Routine Dental Services (Adult)
Exclusions: nan nan |
NO | ||
| Routine Eye Exam (Adult)
Limit: 1.0 Exam(s) per Year Exclusions: nan Out of network is paid up to the allowed amount. |
YES | No Charge |
100.00% |
| Routine Eye Exam for Children
Limit: 1.0 Exam(s) per Year Exclusions: nan Out of network is paid up to the allowed amount. A child is defined as a member up to age 19. |
YES | No Charge |
100.00% |
| Routine Foot Care
Exclusions: nan nan |
NO | ||
| Skilled Nursing Facility
Limit: 45.0 Days per Year Exclusions: Custodial Care. Prior authoriztion required. The penalty for not having prior authorization is denial of payment. BCN participating facilities only. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Specialist Visit
Exclusions: nan Referral required. The penalty for not having a referral is denial of payment. No charge for 24/7 medical virtual visits when performed through the BCN selected vendor app, except HSA eligible plans have no charge after deductible. Diagnostic services are not included in the office visit copayment. These services are subject to the plan's deductible. |
YES | $50.00 Copay after deductible |
100.00% |
| Specialty Drugs
Exclusions: Specialty drugs are limited to a 30-day supply per fill, however some may be limited to a 15-day supply fill, depending on the medication Refer to drug list for quantity limits and other exclusions. BCN has contracted with an exclusive pharmacy network for specialty drugs. Call the customer service phone number on the back of your ID card for the pharmacys phone number or location nearest to you. If you obtain your specialty drugs from any other pharmacy, you are responsible for the total cost. Prior authorization, step therapy and quantity limits may apply to select drugs. The penalty for not having prior authorization is denial of payment. Any coupon, rebate, or other credits received directly or indirectly from an assistance program or the drug manufacturer may not be applied to a consumers deductible, cost-sharing or out of pocket maximum |
YES | 40.00% Coinsurance after deductible |
100.00% |
| Substance Abuse Disorder Inpatient Services
Exclusions: nan Prior authoriztion required. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Substance Abuse Disorder Outpatient Services
Exclusions: nan Copayment applies to providers office and virtual visit by participating BCN provider and Blue Cross online visit from BCN selected vendor only. Additional services are subject to the plan's deductible and coinsurance. Prior authorization is not required for outpatient, office and online visits. Prior authorization is required for other outpatient services. |
YES | $30.00 |
100.00% |
| Transplant
Exclusions: nan Subject to BCN medical criteria. BCN designated facility only. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Treatment for Temporomandibular Joint Disorders
Exclusions: Dental and orthodontic services, treatment, prosthesis and appliances related to TMJ. Prior authorization required. The penalty for not having prior authorization is denial of payment. Coverage includes medical care or services to treat dysfunction or TMJ resulting from a medical cause or Injury, Office visits for medical evaluation and treatment, X-rays of the temporomandibular joint including contrast studies, but not dental x-rays, Myofunctional therapy and Surgery to the temporomandibular joint, such as condylectomy, meniscectomy, arthrotomy, and arthrocentesis. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Urgent Care Centers or Facilities
Exclusions: nan Urgent Care visits will be covered at non-participating providers for medical emergencies and accidental injuries only. |
YES | $40.00 |
$40.00 |
| Weight Loss Programs
Exclusions: nan Obesity screening at physician's office only. |
YES | No Charge |
100.00% |
| Well Baby Visits and Care
Exclusions: nan Quantity limits based on PPACA. |
YES | No Charge |
100.00% |
| X-rays and Diagnostic Imaging
Exclusions: nan May require prior authorization. The penalty for not having prior authorization is denial of payment. |
YES | 20.00% Coinsurance after deductible |
100.00% |
Blue Cross® Select HMO Silver Health Insurance Plan Variant 98185MI0440016-00 Attributes
| Plan Attribute | Value |
|---|---|
| AV Calculator Output Number | 0.701049378295152 |
| Begin Primary Care Cost-Sharing After Number Of Visits | 0 |
| Begin Primary Care Deductible Coinsurance After Number Of Copays | 0 |
| Business Year | 2025 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Silver Off Exchange Plan |
| Dental Only Plan | No |
| Design Type | Not Applicable |
| Disease Management Programs Offered | Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs |
| EHB Percent of Total Premium | 0.9992 |
| First Tier Utilization | 100% |
| Formulary ID | MIF230 |
| Formulary URL | URL |
| HIOS Product ID | 98185MI044 |
| Import Date | 2024-08-14 20:01:41 |
| Limited Cost Sharing Plan Variation - Estimated Advanced Payment | $0.00 |
| Inpatient Copayment Maximum Days | 0 |
| HSA Eligible | No |
| New/Existing Plan | Existing |
| Notice Required for Pregnancy | No |
| Is a Referral Required for Specialist? | Yes |
| Issuer Actuarial Value | 70.01% |
| Issuer ID | 98185 |
| Issuer Marketplace Marketing Name | Blue Care Network of Michigan |
| Market Coverage | Individual |
| Medical Drug Deductibles Integrated | Yes |
| Medical Drug Maximum Out of Pocket Integrated | Yes |
| Metal Level | Silver |
| Multiple In Network Tiers | No |
| National Network | No |
| Network ID | MIN006 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Accidential Injury and Emergency Only |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Accidential Injury and Emergency Only |
| Plan Brochure | URL |
| Plan Effective Date | 2025-01-01 |
| Plan Expiration Date | 2025-12-31 |
| Plan ID (Standard Component ID with Variant) | 98185MI0440016-00 |
| Plan Marketing Name | Blue Cross® Select HMO Silver |
| Plan Type | HMO |
| Plan Variant Marketing Name | Blue Cross® Select HMO Silver |
| QHP/Non QHP | Both |
| SBC Scenario, Having a Baby, Coinsurance | $1,400 |
| SBC Scenario, Having a Baby, Copayment | $10 |
| SBC Scenario, Having a Baby, Deductible | $4,400 |
| SBC Scenario, Having a Baby, Limit | $60 |
| SBC Scenario, Having Diabetes, Coinsurance | $10 |
| SBC Scenario, Having Diabetes, Copayment | $300 |
| SBC Scenario, Having Diabetes, Deductible | $4,400 |
| SBC Scenario, Having Diabetes, Limit | $20 |
| SBC Scenario, Treatment of a Simple Fracture, Coinsurance | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Copayment | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Deductible | $2,800 |
| SBC Scenario, Treatment of a Simple Fracture, Limit | $0 |
| Service Area ID | MIS002 |
| Source Name | SERFF |
| Specialist Requiring a Referral | All except routine OB/GYN & pediatric visits |
| Plan ID | 98185MI0440016 |
| State Code | MI |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group | per group not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person | per person not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual | Not Applicable |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group | per group not applicable |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person | per person not applicable |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual | Not Applicable |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance | 20.00% |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group | $8800 per group |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person | $4400 per person |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual | $4,400 |
| Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group | per group not applicable |
| Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person | per person not applicable |
| Combined Medical and Drug EHB Deductible, Out of Network, Individual | Not Applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group | $18000 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person | $9000 per person |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual | $9,000 |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group | per group not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person | per person not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual | Not Applicable |
| Unique Plan Design | Yes |
| URL for Enrollment Payment | URL |
| URL for Summary of Benefits & Coverage | URL |
| Wellness Program Offered | No |
Copay & Coinsurance of Blue Cross® Select HMO Silver Health Insurance Plan, 98185MI0440016
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|
Frequently Asked Questions(FAQ) about Blue Cross® Select HMO Silver, 98185MI0440016 Health Insurance Plan, 98185MI0440016
-
Does Blue Cross® Select HMO Silver Health Insurance Plan, 98185MI0440016 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (98185MI0440016) Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs?
Does (98185MI0440016) Health Insurance Plan, Variant (98185MI0440016-00) have Out Of Country Coverage?
Does (98185MI0440016) Health Insurance Plan, Variant (98185MI0440016-00) have Out of Service Area Coverage?
Does (98185MI0440016) Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Asthma?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Heart disease?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Depression?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Diabetes?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for High blood pressure & high cholesterol?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Low back pain?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Pregnancy?
Does Blue Cross® Select HMO Silver Health Insurance Plan, Variant (98185MI0440016-00) offer Disease Management Programs for Weight loss programs?
Disclaimer: This is based on the import(Date: Tue, 16 Sep 2025 15:17 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API