EverydayHealth Statewide PPO Get a Quote
Set costs for the most common healthcare needs such as doctor visits and prescriptions when employees use in-network providers.

EverydayHealth Statewide PPO

Deductibles Available

Coinsurance

OOP Max

Office Visits

Prescription Medications

EverydayHealth 500
Metal Level: Platinum

View Individual Details
View Family Details

Individual: $500
Family: $1,000

10% after deductible

Individual: $2,000
Family: $4,000

Primary Care: $15
Specialist: $30

View Doctor Directory

Tier 1: $5
Tier 2: $20
Tier 3: $40

View Pharmacy Details

EverydayHealth 1000**
Metal Level: Gold

View Individual Details
View Family Details

Individual: $1,000
Family: $2,000

20% after deductible

Individual: $5,500
Family: $11,000

Primary Care: $20
Specialist: $45

View Doctor Directory

Tier 1: $15
Tier 2: $50
Tier 3: $100

View Pharmacy Details

EverydayHealth 1500
Metal Level: Gold

View Individual Details
View Family Details

Individual: $1,500
Family: $3,000

20% after deductible

Individual: $4,000
Family: $8,000

Primary Care: $30
Specialist: $60

View Doctor Directory

Tier 1: $15
Tier 2: $60
Tier 3: $120

View Pharmacy Details

EverydayHealth 2000**
Metal Level: Silver

View Individual Details
View Family Details

Individual: $2,000
Family: $4,000

20% after deductible

Individual: $7,000
Family: $14,000

Primary Care: $35
Specialist: $70

View Doctor Directory

Tier 1: $25
Tier 2: $70
Tier 3: $140

View Pharmacy Details

EverydayHealth 2500
Metal Level: Silver

View Individual Details
View Family Details

Individual: $2,500
Family: $5,000

20% after deductible

Individual: $7,000
Family: $14,000

Primary Care: $30
Specialist: $60

View Doctor Directory

Tier 1: $25
Tier 2: $50
Tier 3: $120

View Pharmacy Details

EverydayHealth 2500/100
Metal Level: Silver

View Individual Details
View Family Details

Individual: $2,500
Family: $5,000

No charge after deductible

Individual: $7,000
Family: $14,000

Primary Care: $40
Specialist: $80

View Doctor Directory

Tier 1: $30
Tier 2: $90
Tier 3: $160

View Pharmacy Details

EverydayHealth 3000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $3,000
Family: $6,000

20% after deductible

Individual: $6,000
Family: $12,000

Primary Care: $40
Specialist: $80

View Doctor Directory

Tier 1: $25
Tier 2: $60
Tier 3: $130

View Pharmacy Details

EverydayHealth 3500
Metal Level: Silver

View Individual Details
View Family Details

Individual: $3,500
Family: $7,000

20% after deductible

Individual: $6,000
Family: $12,000

Primary Care: $35
Specialist: $70

View Doctor Directory

Tier 1: $25
Tier 2: $60
Tier 3: $130

View Pharmacy Details

EverydayHealth 4000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $4,000
Family: $8,000

20% after deductible

Individual: $6,500
Family: $13,000

Primary Care: $30
Specialist: $60

View Doctor Directory

Tier 1: $15
Tier 2: $60
Tier 3: $130

View Pharmacy Details

EverydayHealth 5000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $5,000
Family: $10,000

20% after deductible

Individual: $6,500
Family: $13,000

Primary Care: $30
Specialist: $50

View Doctor Directory

Tier 1: $15
Tier 2: $50
Tier 3: $110

View Pharmacy Details

EverydayHealth 5000/100
Metal Level: Silver

View Individual Details
View Family Details

Individual: $5,000
Family: $10,000

No charge after deductible

Individual: $6,500
Family: $13,000

Primary Care: $30
Specialist: $50

View Doctor Directory

Tier 1: $15
Tier 2: $50
Tier 3: $110

View Pharmacy Details

EverydayHealth 6000**
Metal Level: Bronze

View Individual Details
View Family Details

Individual: $6,000
Family: $12,000

10% after deductible

Individual: $7,000
Family: $14,000

Primary Care: $40
Specialist: $85

View Doctor Directory

Tier 1: $40
Tier 2: $100
Tier 3: $200

View Pharmacy Details

Essential Statewide PPO Get a Quote
The first three in-network doctor office visits and most in-network generic prescription medications are covered at low out of pocket costs for members. Each member has copay cost share for up to three in-network total PCP/Specialist office visits per calendar year. After three copays, coinsurance applies.

Essential Statewide PPO

Deductibles Available

Coinsurance

OOP Max

Office Visits

Prescription Medications

Essential 1500
Metal Level: Gold

View Individual Details
View Family Details

Individual: $1,500
Family: $3,000

20% after deductible

Individual: $3,000
Family: $6,000

Primary Care: $25
Specialist: $50

View Doctor Directory

Tier 1: $10
Tier 2: $30 after deductible
Tier 3: 40% after deductible up to $300 but no less than $100

Deductible: $200

View Pharmacy Details

Essential 2000
Metal Level: Gold

View Individual Details
View Family Details

Individual: $2,000
Family: $4,000

20% after deductible

Individual: $3,000
Family: $6,000

Primary Care: $25
Specialist: $50

View Doctor Directory

Tier 1: $10
Tier 2: $30 after deductible
Tier 3: 40% after deductible up to $180 but no less than $60

Deductible: $200

View Pharmacy Details

Essential 3000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $3,000
Family: $6,000

20% after deductible

Individual: $6,000
Family: $12,000

Primary Care: $25
Specialist: $50

View Doctor Directory

Tier 1: $10
Tier 2: $35 after deductible
Tier 3: 40% after deductible up to $300 but no less than $100

Deductible: $400

View Pharmacy Details

Essential 4000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $4,000
Family: $8,000

20% after deductible

Individual: $5,000
Family: $10,000

Primary Care: $25
Specialist: $50

View Doctor Directory

Tier 1: $10
Tier 2: $35 after deductible
Tier 3: 40% after deductible up tp $300 but no less than $100

Deductible: $400

View Pharmacy Details

Essential 5000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $5,000
Family: $10,000

20% after deductible

Individual: $5,500
Family: $11,000

Primary Care: $30
Specialist: $70

View Doctor Directory

Tier 1: $10
Tier 2: $35 after deductible
Tier 3: 40% after deductible up tp $300 but no less than $100

Deductible: $400

View Pharmacy Details

Essential 6000
Metal Level: Bronze

View Individual Details
View Family Details

Individual: $6,000
Family: $12,000

10% after deductible

Individual: $7,000
Family: $14,000

Primary Care: $45
Specialist: $90

View Doctor Directory

Tier 1: $40
Tier 2: $100 after deductible
Tier 3: 40% after deductible up to $600 but no less than $200

Deductible: $750

View Pharmacy Details

Portfolio Statewide PPO Get a Quote
A low premium plan eligible for use with a Health Savings Account (HSA) from a qualified financial institution. This plan provides flexibility on how employees’ healthcare dollars are spent while offering the employee potential tax savings when the plan is paired with an HSA. Many in-network preventive services are covered at no out-of-pocket cost to employees.

Portfolio Statewide PPO

Deductibles Available

Coinsurance

OOP Max

Office Visits

Prescription Medications

Portfolio 1500
Metal Level: Gold

View Individual Details
View Family Details

Individual: $1,500
Family: $3,000

10% after deductible

Individual: $3,000
Family: $6,000

Primary Care and Specialist: 10% after deductible

View Doctor Directory

10% after deductible

View Pharmacy Details

Portfolio 2600
Metal Level: Silver

View Individual Details
View Family Details

Individual: $2,600
Family: $5,200

20% after deductible

Individual: $4,250
Family: $8,500

Primary Care and Specialist: 20% after deductible

View Doctor Directory

20% after deductible

View Pharmacy Details

Portfolio 3250
Metal Level: Silver

View Individual Details
View Family Details

Individual: $3,250
Family: $6,500

10% after deductible

Individual: $5,500
Family: $11,000

Primary Care and Specialist: 10% after deductible

View Doctor Directory

10% after deductible

View Pharmacy Details

Portfolio 4000
Metal Level: Silver

View Individual Details
View Family Details

Individual: $4,000
Family: $8,000

10% after deductible

Individual: $4,500
Family: $9,000

Primary Care and Specialist: 10% after deductible

View Doctor Directory

10% after deductible

View Pharmacy Details

Portfolio 5500
Metal Level: Bronze

View Individual Details
View Family Details

Individual: $5,500
Family: $11,000

20% after deductible

Individual: $6,550
Family: $13,100

Primary Care and Specialist: 20% after deductible

View Doctor Directory

20% after deductible

View Pharmacy Details

Portfolio 6550
Metal Level: Bronze

View Individual Details
View Family Details

Individual: $6,550
Family: $13,100

No charge after deductible

Individual: $6,550
Family: $13,100

Primary Care and Specialist: No charge after deductible

View Doctor Directory

No charge after deductible

View Pharmacy Details

Disclaimers and Footnotes

*These plans are offered to employers defined as "small" under the Affordable Care Act (ACA). "Small" employers are those having an average number of total employees on business days during the previous calendar year of 50 or fewer. 

†PPO plans include out-of-network benefits. Out-of-network cost share for PPO plans is higher than in-network cost share, and members usually pay a balance bill, which is the difference between the BCBSAZ allowed amount and the provider's billed charges. For example, if an out-of-network hospital charges $1,500 for a service, and the allowed amount is $1,000, the member must pay the $500 difference plus out-of-network cost share. 

‡More detailed information about benefits, cost share, exclusions and limitations is in the benefit plan booklets and plan Summary of Benefits and Coverage (SBC), and is available prior to enrollment, on request. If you would like a copy of a plan Summary of Benefits and Coverage (SBC) please call us at 1-(877) 475-8440. If the terms of this webpage summary or the terms of the SBC differ from the terms of the benefit book, the benefit book controls. 

**We also offer EverydayHealth 1000, 2000, and 6000, paired with our statewide PPO, through the Small Business Health Options Program (SHOP), a federally sponsored health insurance marketplace. A Small Business Health Care Tax Credit is available to certain qualified employers who purchase coverage through the SHOP. Blue Cross Blue Shield of Arizona is a Qualified Health Plan issuer in the Health Insurance Marketplace.

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