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BlueJourney HMO

Select a BlueJourney HMO plan that meets your needs.

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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
$48
$0
Deductible
$0
$0
$0
Primary Care Physician Office Visits
$10 copay
$10 copay
$5 copay
Specialist Office Visits
$20 copay
$25 copay
$30 copay
Urgent Care
$30 copay
$35 copay
$40 copay
Inpatient Hospital Stay
$65 per day for days 1-5
$100 per day for days 1-5
$150 per day for days 1-8
Ambulatory Surgical Center (ASC)
$100 copay
$200 copay
$225 copay
Outpatient Surgery
$200 copay
$300 copay
$325 copay
Emergency Care (copay waived if admitted)
$100 copay
$100 copay
$80 copay
Labs
$15 copay
$15 copay
$15 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
$100 copay
$250 copay
Diabetes Self-Monitoring Training and Supplies
Covered at 100%
Covered at 100%
Covered at 100%
Hearing Services
$0 copay each per exam and fitting, Limit 1 exam per calendar year ($800 allowance every 3 years for hearing aids) $0 copay each per exam and fitting, Limit 1 exam per calendar year ($800 allowance every 3 years for hearing aids) $0 copay each per 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

$20 copay

One eye exam every calendar year

$20 copay

One eye exam every calendar year

Routine Dental Services
$10 copay (includes: cleaning, bitewing x-rays (set of two), oral exam) $10 copay (includes: cleaning, bitewing x-rays (set of two), oral exam) $10 copay (includes: cleaning, bitewing x-rays (set of two), oral exam)
Silver&Fit®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
$15 monthly allowance for over-the-counter (OTC) drugs and supplies. Unused allowance may not be carried over from one month to the next. 
$15 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. 

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Other Ways to Enroll

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Other Ways to Enroll

Enroll Online

Other Ways to Enroll

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Updated October 1, 2017

Y0016_18_400 Pending