Coverage
Insurance & benefits
Active plans, deductible status, and digital insurance card.
Plan
BCBS PPO
Deductible
$840 / $2k
OOP max
$1.2k / $5k
Eligibility
Verified
Digital card
Member
Maya R. Chen
Member ID
XJP-441-902-218
Group
10024-A
Rx BIN
003858
PCP
Dr. A. Patel
Benefits summary
- Primary care visit$25 copay
- Specialist visit$45 copay
- Generic Rx$10
- Lab work20% after deductible
- Emergency room$250 + 20%
Recent EOBs
- May 02Cardiology consultInsurance paid $182.40$45.00
- Apr 14Lab panelInsurance paid $96.10$18.20
- Mar 28Annual wellnessPreventive · paid in full$0.00