Transcription of Bronze PPO 7350/0/60 - Capital BlueCross
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Bronze PPO 7350/0/60 - Capital BlueCross
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered ServicesCoverage Period: Beginning on or after 01/01/2018 Capital BlueCross1 Bronze PPO 7350 /0/60 Coverage For: Individual and Family | Plan Type: PPOThe Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. IND_Generic-8-16-17-6551361-01-SBC_v15-I J339RJ841D0130VJ143-45127PA2002000Do you need a referral to see a specialist?
Deductible applies to all services, including prescription drug, before any copayment or coinsurance are applied. Generally, you must pay all the …
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