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Blue Advantage Overview

Blue Advantage Plans Include:

  • Comprehensive Medical Coverage
  • Prescription Drug Coverage
  • Preventive Dental
  • Vision Exams & Eyewear
  • Hearing Exams & Hearing Aids
  • SilverSneakers® Fitness Membership
  • Choice of plans, including $0 premium option
  • Built-in prescription drug coverage
  • Statewide provider network with 100% of Alabama hospitals and over 90% of doctors
  • No referral required for network specialists, doctors or hospitals
  • In and out of nework covered services
  • $0 copay for an annual routine vision and hearing exam
  • Significant discounts on hearing aids through TruHearing®
  • $100 eyewear and $250 preventive dental allowance per calendar year
  • SilverSneakers® fitness membership
  • $0 copay for preventive care, most immunizations, and lab services
  • Air medical transportation
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Comprehensive Medical Coverage

Pill Bottle Icon

Prescription Drug Coverage

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Preventive Dental

Glasses Icon

Vision Exams & Eyewear

Hearing Exam Icon

Hearing Exams & Hearing Aids

Sneaker Icon

Silver Sneakers® Membership

Blue Advantage makes it easy to stay healthy and save money

  • Choice of plans, including $0 premium option
  • Built-in prescription drug coverage
  • Statewide provider network with 100% of Alabama hospitals and over  90% of doctors
  • No referral required for network specialists, doctors or hospitals
  • In and out of nework covered services
  • $0 copay foran annual routine vision and hearing exam
  • Significant discounts on hearing aids through TruHearing®
  • $100 eyewear and $250 preventive dental allowance per calendar year
  • SilverSneakers® fitness membership Learn More >
  • $0 copay for preventive care, most immunizations, and lab services
  • Air medical transportation
Pie Chart with 90% filled

More than 90% of all Alabama physicians are in our network.

Pie Chart with 100% filled

Along with 100% of all Alabama hospitals!

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Blue Advantage

Complete (PPO)

$0 per month

Blue Advantage

Premier (PPO)

$168 per month

Primary Care Doctor Visit Copay $10 copay per visit $5 per visit
Specialist Visit Copay $40 per visit $30 per visit
Inpatient Hospital Copay $225 per day for days 1–7;
$0 for days 8+
$175 per day for days 1–5;
$0 for days 6+
Outpatient Hospital Copay $250 copay $150 copay
Lab Services $0 copay $0 copay
X-rays $15 copay $5 copay
Emergency Room Visit $90 copay
Waived if admitted
$120 copay
Waived if admitted
Ambulance $225 copay $150 copay
Many Preventive Wellness Services $0 copay $0 copay
Durable Medical Equipment 20% of cost 20% of cost
Diabetic Supplies $0 copay $0 copay
Routine Eye Exam $0 copay for routine exam & $30 copay for diagnostic exam $0 copay for routine exam & $30 copay for diagnostic exam
Eyewear Allowance $100 per calendar year $100 per calendar year
Preventive Dental Allowance $250 per calendar year $250 per calendar year
Hearing Exams $0 copay for routine exam
$10 copay for diagnostic exam
$0 copay for routine exam
$10 copay for diagnostic exam
Hearing Aids* $699/$999 copay per hearing aid
(one per ear, per year)
$699/$999 copay per hearing aid
(one per ear, per year)
Maximum Out-of-Pocket Amount $5,100 (in-network) $3,400 (in-network)

 

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