Web Content Viewer - Fixed Context

Web Content Viewer - Fixed Context

Web Content Viewer - Fixed Context

BlueJourney HMO

Select a BlueJourney HMO plan that meets your needs.

Web Content Viewer - Fixed Context

With BlueJourney Essential HMO, coverage is $0 a month. There is no deductible for in-network services for all plans.

Service Area
BlueJourney Premier HMO
BlueJourney Value HMO
BlueJourney Essential HMO

Enroll Online
Enroll Online
Enroll Online
Monthly Premium
$148
$50
$0
Deductible
$0
$0
$0
Primary Care Physician Office Visits
$5 copay
$10 copay
$5 copay
Specialist Office Visits
$20 copay
$25 copay
$30 copay
Urgent Care
$30 copay
$50 copay
$40 copay
Inpatient Hospital Stay
$80 per day for days 1-5
$120 per day for days 1-5
$175 per day for days 1-8
Ambulatory Surgical Center (ASC)
$75 copay
$200 copay
$235 copay
Outpatient Surgery
$225 copay
$300 copay
$335 copay
Emergency Care (copay waived if admitted)
$120 copay
$90 copay
$90 copay
Labs
$10 copay
$5 copay
$10 copay
X-rays
Outpatient x-rays $25 copay
Outpatient x-rays $25 copay
Outpatient x-rays $50 copay
Diagnostic Radiology (not including x-rays)
$75 copay
$150 copay
$250 copay
Diabetes Self-Monitoring Training and Supplies
$0 copay per item $0 copay per item
$0 copay per item
Hearing Services
$0 copay for routine exam and fitting, Limit 1 exam per calendar year ($800 allowance every 3 years for hearing aids) $0 copay for routine exam and fitting, Limit 1 exam per calendar year ($800 allowance every 3 years for hearing aids) $0 copay for routine exam and fitting, Limit 1 exam per calendar year ($800 allowance every 3 years for hearing aids)
Routine Vision Services

$20 copay

One eye exam every calendar year

$125 allowance towards eyeglass frames or contact lenses every 2 years

$20 copay

One eye exam every calendar year

$125 allowance towards eyeglass frames or contact lenses every 2 years

$20 copay

One eye exam every calendar year

$125 allowance towards eyeglass frames or contact lenses every 2 years

Expanded Dental Benefits
$10 copay (includes 2 cleanings, bitewing x-rays (set of two), oral exam) $10 copay (includes 2 cleanings, bitewing x-rays (set of two), oral exam) $10 copay (includes 2 cleanings, bitewing x-rays (set of two), oral exam)
SilverSneakers®Fitness Benefit
Included
Included
Included
Durable Medical Equipment
20% coinsurance
20% coinsurance
20% coinsurance
Prescription Drug Benefits
$0 deductible $0 deductible $0 deductible
Over-the-counter
$25 monthly allowance for over-the-counter (OTC) drugs and supplies. Unused allowance may not be carried over from one month to the next. 
$25 monthly allowance for over-the-counter (OTC) drugs and supplies. Unused allowance may not be carried over from one month to the next. 
$25 monthly allowance for over-the-counter (OTC) drugs and supplies. Unused allowance may not be carried over from one month to the next. 

Transportation Benefit

24 plan approved round trips

24 plan approved round trips

24 plan approved round trips

Meals Benefit – Post Hospital Discharge 2 meals per day for 7 days
2 meals per day for 7 days
2 meals per day for 7 days
In-home Support Services: Grandkids on Demand
5 hours per month included
5 hours per month included
Not included
Landmark Health
Included Included
Included
Medical Nutritional Therapy
Included
Included
Included
Nutritional/Dietary Benefit
Included
Included
Included
Virtual Care Included
Included
Included
Health Coaching and Education Benefit
Included
Included
Included

Enroll Online

Other Ways to Enroll

Enroll Online

Other Ways to Enroll

Enroll Online

Other Ways to Enroll

Web Content Viewer - Fixed Context

Web Content Viewer - Fixed Context

Updated October 1, 2019

Y0016_WBST20

Web Content Viewer - Fixed Context