Highmark Inc.

my Blue Access PPO Silver 2900

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Plan Overview

Medical Deductible	Individual: $2,900 Family: $5,800 Per Person: $2,900
Prescription Drug Deductible	Individual: $0 Family: $0 Per Person: $0
Medical Out-of-Pocket Maximum	Individual: $7,800 Family: $15,600 Per Person: $7,800
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

Office Visit

Primary Doctor	Standard: $50 Copay
Specialist	Standard: $50 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $30 Copay
Non Preferred Brand Drugs	Standard: $150 Copay
Generic Drugs	Standard: $0 Copay
Specialty Drugs	Standard: 50% Coinsurance

Inpatient Coverage

Hospital Services	Standard: 30% Coinsurance after deductible
Inpatient Services	Standard: 30% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room

Standard: $750 Copay after deductible

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

What’s the difference between an orthodontist and an endodontist?

Checking in with your family dentist is a good first step to maintaining good…Read More

Read More

Six Things Millennials Need to Know About Qualifying Life Events

If you’re a millennial, odds are you’ve already gone through some major life milestones,…Read More

Read More

What’s changing about Affordable Care Act benefits in 2023?

Open enrollment is here for Affordable Care Act (ACA) marketplace health insurance plans, and there are important, new…Read More

Read More