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This is an example of how GoBlue Plan 91 coverage can work Meet Sam and Ellen. Now that the kids are grown, Sam and Ellen are able to think about their own health a little more. They want to maintain their active lifestyle and have coverage for things that come up, so they have GoBlue. About six months ago, Sam had an appointment with his doctor for a prostate exam and had some lab tests done. Although everything was fine, Sam still felt that he could use some help with his diet. He and Ellen each contacted a health coach1 who provided them diet programs, plus health tips. The couple also started walking every night after work. A few months later Ellen and Sam each had appointments with their dentist for routine dental exams and x-rays. Another way Ellen took care of herself was seeing her GYN for her annual exam. The doctor scheduled a mammogram, along with some lab tests. See how the GoBlue health services card makes it simple to go to the doctor or dentist, get prescriptions and lab tests.
In 6 months, the GoBlue health services card would save them $230...
Here's how… Sam visited his doctor for a prostate exam. He needed various lab tests. He went to Quest Diagnostics and the tests were paid by BCBSF. Sam and Ellen called a health coach to talk about changing their diet and cooking lighter, plus exercise options for each of them. Ellen went for a dental check-up for cleaning and X-rays. Sam went for a dental check-up for cleaning and X-rays. Ellen scheduled her yearly exam with her GYN. Elle’s doctor ordered lab tests. She went to Quest Diagnostics so the tests were paid 100% by BCBSF. Ellen had a mammogram. Total Charges for care or services $75 $35 Savings with negotiated rates $10 saved with BCBSF negotiated rates ($65 allowance for the visit) $15 saved with BCBSF negotiated rates ($20 allowed for all of the lab tests combined) Center is staffed 24/7 with licensed, trained individuals, including health coaches and nurses1. GoBlue pays $50 $20 Cost $15 $0
Free service with GoBlue coverage
Free service with GoBlue coverage $50 $50 $50 $29
$100 $100 $170 $105
$41 saved with BCBSF negotiated rates ($59 allowance for the visit) $41 saved with BCBSF negotiated rates ($59 allowance for the visit) $63 saved with BCBSF negotiated rates ($107 allowance for the visit) $76 saved with BCBSF negotiated rates ($29 allowed for all of the lab tests combined) $210 saved with BCBSF negotiated rates ($259 allowance for the visit) $456 (Saved by having GoBlue)
$9 $9 $57 $0
GoBlue premium for 6 months = $516 ($86 a month for two adults, ages 48 and 51)
Savings with the GoBlue card
• • •
The monthly premium + “cost” for services = $815 out-of-pocket Total medical charges would have been $1,054 without GoBlue But having GoBlue saved them $239! [$1,054 – $815 = $239]
Top Tip: Using the CareCalcSM tool, doctors and urgent care centers can determine your estimated costs for the majority of treatments before you have them, so you can make more informed health care decisions.
This is only an example of the type of savings and coverage that comes with the GoBlue plan. Your experience may vary depending on the care you need, where you have the service performed, who you see for the service and if you use in-network doctors, dentists and pharmacies. These plans have limitations and exclusions and the premium and amount of benefits provided depends upon the plan selected and your age.
a courtesy, Blue Cross and Blue Shield of Florida, Inc. has entered into arrangements with various vendors to provide value-added features that include care decision support tools and services to its members. These programs are not part of insurance coverage.