Blue Cross Select Gold

Health Insurance Plan Details (2026 Plan)

by Blue Cross and Blue Shield of Alabama

Monthly Premium

PPO
$ubsidy
Gold
Deductible
N/A /yr
Max Out-of-Pocket
N/A /yr

Details

Deductible (per individual)$850 /yr
Deductible (per family)$1,700 /yr
Max Out-of-Pocket (per individual)$6,000 /yr
Max Out-of-Pocket (per family)$12,000 /yr
Drug Deductible (per individual)Included in Medical
Drug Deductible (per family)Included in Medical
Drug Max Out-of-Pocket (per individual)Included in Medical
Drug Max Out-of-Pocket (per family)Included in Medical
Plan TypePPO
Includes Child Dental?Yes
Includes Adult Dental?No
Medical Services
Preventive CareNo Charge
Primary Care Visit$35 Copay
Specialist Visit$50 Copay
Emergency Room$300 Copay
Inpatient Facility$300 Copay per Day
Inpatient PhysicianNo Charge after Deductible
Drug Costs
Generic Drugs$5 Copay
Preferred Brand Drugs$55 Copay
Non-preferred Brand Drugs40% Coinsurance
Specialty Drugs$200 Copay

Plan Documents

Summary of Benefits and CoverageSBC doc
Provider DirectoryDoctor lookup
Drug Formulary List drug list

* Figures shown are only for in-network medical costs

** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible


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