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Individual & Family Products


Short Term $5000

The Go-To Insurance Plan for Gap Periods

Capital BlueCross Short Term gives you the coverage to see your doctor, go to the hospital in a medical emergency and have outpatient procedures when necessary. You are also eligible for discounted prescription medications. The Short Term 5000 plan offers our lowest premium rates and a deductible of $5000, fully covers services and contributes 80% if you reach your deductible. 

Overview
Plan Details
  • Deductible/Out-of-Pocket Maximum Options
    Annual Single Deductible:  Single Out-of-Pocket Maximum: 
    $5,000 $6,000
    Annual Family Deductible:  Family Out-of-Pocket Maximum: 
    $10,000 $11,000
    Service Participating Provider Nonparticipating Provider
    Preventive Care  Covered in full; no cost to the member Not Covered
    Office/Home Visits  20% of Plan Allowance; after deductible 50% of Plan Allowance; after deductible
    Hospital - Inpatient
    (excludes maternity, except as mandated)
    20% of Plan Allowance; after deductible 50% of Plan Allowance; after deductible
     
    Hospital - Outpatient
    (excludes maternity, expect as mandated)
    20% of Plan Allowance; after deductible 50% of Plan Allowance; after deductible
    Emergency Room  20% of Plan Allowance 20% of Provider’s billed charge
    Urgent Care  20% of Plan Allowance; after deductible 50% of Provider’s billed charge; after deductible
  • Plan Highlights [pdf] Click Here
    How it Works Click Here
    FAQs Click Here

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