Transcription of 2017 – 2018 Blue Solutions Plan Comparison — In-Network ...
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2017 – 2018 Blue Solutions Plan Comparison — In-Network ...
This chart compares member cost-sharing for select benefits from 2018 plans (in blue text) with the 2017 version of each plan (in black text) within the blue Solutions FacRadOP SurgGenPreferredNon-PreferredSpecKeyston e HMO Platinum Preferred $10/$20/$100$0$3,0000%$10$20$125$100, 5 days$20/$40$25/$125$7$40$7050% $1,000 Keystone HMO Platinum Preferred $10/$20/$100$0$3,5000%$10$20$125$100, 5 days$20/$4010% $25/10% $125 $7$40$7050% $1,000 Keystone HMO Platinum Preferred $20/$40/$150$0$4,0000%$20$40$125$150, 5 days$30/$60$45/$185$7$45$7550% $1,000 Keystone HMO Platinum Preferred $20/$40/$150$0$4,0000%$20$40$125$150, 5 days$30/$6010% $45/10% $185 $7$45$7550% $1,000 Keystone HMO Gold Classic $1,000/$25/$50/90%$1,000$5,50010%$25$501 0%10%$40/$8010%/30%$7$50$15050% $1,000 Keystone HMO Gold Classic $1,000/$25/$50/90%$1,000$5,50010%$25$501 0%10%$40/$8010%/40%$7$50$15050% $1,000 Keystone HMO Gold Classic $2.
Page 2 of 4 This chart compares member cost-sharing for select benefits from 2018 plans (in blue text) with the 2017 version of each plan (in black text) within the Blue Solutions portfolio.
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