HealthMate Coast-to-Coast Direct 5000 *

Cindy, a 62-year-old retired secretary & Bob, a 62-year-old retired engineer

Cindy and Bob were able to save enough to retire early. They are not yet eligible for Medicare.

Health status:
Both healthy.

Exercise:
Cindy takes a yoga class; Bob plays golf.

Healthcare utilization:
Annual well visits; Routine lab work; Annual mammogram; Annual gynecological exam;Two sick visits; One generic antibiotic prescription.

Costs &
Incentives
HealthMate Coast-to-
Coast Direct 5000/10000
Medical Costs
Annual visit,lab work,
mammogram, annual gyn exam
No cost
2-sick visits $40
$20/visit
Pharmacy Costs  
Generic med $10 copay
Monthly Premium $946.96 (Preferred)
$1,144.99 (Basic)
Annual Premiums $11,363.52(Preferred)
$13,739.88 (Basic)
Wellness Reward – 10% $1,136.35 (Preferred)
$1,373.99 (Basic)
Wellness Incentive Wellness reward (10% of premium)
TOTAL Estimated Annual Cost with
Insurance
$11,413.52(Preferred)
$13,789.88 (Basic)

* The example provided above is only a summary of benefits provided by the plan based on the hypothetical circumstances of the participant. Other exceptions, reductions, and limitations may also apply to your benefits. The preferred premium described above is for individuals or families who satisfy certain plan requirements, and the basic premium is for participants who do not satisfy those requirements. Your actual premium will be determined based on your application answers and the results of our medical underwriting. For complete benefit details, please see the subscriber agreement for the plan.

**As a BCBSRI member, you benefit from discounts we negotiate with our in-network providers. This means that when you need care, providers charge you less than what they would charge you if you did not have health insurance with BCBSRI. These payments are your anticipated copayment as a percent of the provider’s negotiated charge.

 

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