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Blue Cross Blue Shield of Massachusetts

Essential Blue Young Adult II

Think of yourself as immune to illness and injury? Essential Blue Young Adult II may be right up your alley. Compared to Essential Blue Young Adult I, it combines lower monthly premium payments with a higher annual deductible, so you'll pay less if you don't need urgent medical attention, but more if you break a leg in a battle with Bigfoot. Essential Blue Young Adult I and II both feature the option to receive more affordable care from our Enhanced Benefit Tier and $250 in preventive dental care. Ready to buy? Make sure you're eligible, then call the Commonwealth Health Connector at 1-877-623-6765.

What You Get What You Pay with Enhanced Benefit Tier What You Pay with
 Standard Benefit Tier
Primary Care Provider
(non-routine visit)		 $10 copay $50 copay
Other Provider Visit $25 copay $50 copay
Emergency Room $250 copay $350 copay
Lab Tests, X-Rays & Surgery 20% shared cost after deductible 60% shared cost after deductible
Optional Prescription Medications (Rx) $15 or 50% shared cost, depending on the medication.
(Use our mail-service pharmacy to pay even less.)
Plan-Year Deductible $2,000 $4,000
Lifetime Maximum None
Preventive Dental Care 30% in-network shared cost, 50% out-of-network shared cost. Up to $250 preventive dental care benefit per calendar year.