Buy Up PPO
Our company offers medical plans administered through BCBS that support different healthcare needs and budgets.
Buy Up PPO
Video coming soon
Carrier
BCBS
Plan type
PPO
Out-of-network coverage
Yes
FSA eligible
Healthcare FSA
BI-WEEKLY PAYROLL CONTRIBUTIONS
| Coverage tier | Bi-Weekly Payroll Contribution |
|---|---|
| Employee Only | $144.63 |
| Employee + Spouse | $401.55 |
| Employee + Child(ren) | $267.38 |
| Family | $445.63 |
Employee Only
- Bi-Weekly Payroll Contribution
- $144.63
Employee + Spouse
- Bi-Weekly Payroll Contribution
- $401.55
Employee + Child(ren)
- Bi-Weekly Payroll Contribution
- $267.38
Family
- Bi-Weekly Payroll Contribution
- $445.63
Medical Services
| Feature | In-network |
|---|---|
| Annual deductible (individual/family) | $1,000 / $3,000 |
| Out-of-pocket maximum (individual/family) * | $5,000 / $15,000 |
| Coinsurance | 20% |
| Primary physician office visit | $20 copay |
| Specialist office visit | $45 copay |
| Inpatient hospital services | 20% after deductible |
| Outpatient hospital services | Facility: $500 copay; Provider: $50 copay |
| Urgent care | $50 copay |
| Emergency room care | $400 copay |
Annual deductible (individual/family)
- In-network
- $1,000 / $3,000
Out-of-pocket maximum (individual/family) *
- In-network
- $5,000 / $15,000
Coinsurance
- In-network
- 20%
Primary physician office visit
- In-network
- $20 copay
Specialist office visit
- In-network
- $45 copay
Inpatient hospital services
- In-network
- 20% after deductible
Outpatient hospital services
- In-network
- Facility: $500 copay; Provider: $50 copay
Urgent care
- In-network
- $50 copay
Emergency room care
- In-network
- $400 copay
- *Includes deductible and copayments
Out-of-network coverage
| Feature | Out-of-network coverage |
|---|---|
| Annual deductible (individual/family) | $3,000 / $9,000 |
| Out-of-pocket maximum (individual/family) * | $15,000 / $45,000 |
| Coinsurance | 50% |
Annual deductible (individual/family)
- Out-of-network coverage
- $3,000 / $9,000
Out-of-pocket maximum (individual/family) *
- Out-of-network coverage
- $15,000 / $45,000
Coinsurance
- Out-of-network coverage
- 50%
- *Includes deductible and copayments
Prescription drugs (30-day supply)
| Feature | In-network |
|---|---|
| Prescription deductible | None |
| Generic | $10 copay |
| Preferred Brand | $50 copay |
| Non-Preferred Brand | $80 copay |
Prescription deductible
- In-network
- None
Generic
- In-network
- $10 copay
Preferred Brand
- In-network
- $50 copay
Non-Preferred Brand
- In-network
- $80 copay
Plan Notes
- The Buy Up PPO has the lowest deductible ($1,000 individual / $3,000 family in-network) and 20% coinsurance, with the lowest copays ($20 primary / $45 specialist).
- This plan is not HSA-eligible; you may pair it with a Healthcare FSA.
- To locate an in-network medical provider, please visit myhealthtoolkitfl.com.