Blue Cross Blue Shield of Arizona BlueClassic 250 Indemnity

Arizona health insurance

Individual Family

Blue Cross Blue Shield of Arizona

Indemnity

BlueClassic $250

BCBS Arizona BlueClassic $250	Other BCBS Arizona individual family plans BCBS Arizona Doctor Search BCBS Arizona Individual Quote
Plan Summaries (please get updated information by requesting a quote with your request effective date) Individual Family quote
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BlueClassic $250		In-Network	Out-Of-Network
	Annual Deductible	Individual: $250 Family: $500	Not Applicable
	Annual Out-Of-Pocket Limit	$5,000 per person (Deductible not Included)	Not Applicable
	Lifetime Maximum	$4,000,000	Not Applicable
	Office Visits	20%	Not Applicable
	Prescription Drugs	$15 Level 1 $35 Level 2 $65 Level 3 $120 Level 4	Not Applicable
	Laboratory and Radiology	20%	Not Applicable
	Annual Physical Exam	20%	Not Applicable
	Annual OB-GYN Exam	20%	Not Applicable
	Prenatal / Postnatal Maternity	Not Applicable	Not Applicable
	Well Baby Care	20%	Not Applicable
	Outpatient Surgery	20%	Not Applicable
	Emergency Room	20% plus $150 (waived if admitted)	20% plus $150 (waived if admitted)
	Ambulance	20% (Deductible Waived)	20% (Deductible Waived)
	Home Health Care	20% (Up to 3 visits of 2 hours or less per day)	Not Applicable
	Mental Health Services	See benefits contract	Not Applicable
	Chiropractic Care	20%	Not Applicable
	Acupuncture / Acupressure	Not Covered	Not Applicable
	Inpatient Co-payment	20%	Not Applicable
	Maternity Care	Not Covered	Not Applicable
	Inpatient Mental Health	50% (2 admissions, up to a combined total of 30 days. $25,000 maximum benefit)	Not Applicable
	Chemical Dependency	See benefits contract	Not Applicable

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About Blue Cross Blue Shield of Arizona

Blue Cross Blue Shield of Arizona, an independent licensee of the Blue Cross Blue Shield Association, is a local not-for profit health insurance company headquartered in Phoenix. Founded in 1939, the company has more than 1,500 dedicated employees throughout its Phoenix, Tucson, Tempe and Flagstaff offices.

The company provides health insurance products, services or networks to more than 1.1 million individuals, making it the largest locally based insurance company in Arizona.

Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

As an active supporter of the community, Blue Cross Blue Shield supports more than 200 organizations statewide through volunteering and contributions.