What Does An Essential Plan Cover?
The Blue Shield Essential Plan provides all-in-one individual coverage for your health and wellness needs for low monthly premiums. Instead of having to juggle multiple plans and premiums, you get access to a wide range of healthcare services in one convenient package.
The Essential Plan emphasizes preventative care and wellness. By leading an active lifestyle, getting regular check-ups, and treating illness or injury before it becomes severe, you can stay healthy and save money.
The Blue Shield Essential Plan covers:
Doctor and Hospital Services
The Essential Plan has a low copay of $40 for visits to doctors in the Preferred Provider network. Non-emergency hospital outpatient services ý including x-rays and outpatient surgery ý are fully covered once the plan deductible has been met. Hospital physician consultations are also fully covered. Ambulance service is completely covered, and you pay only $100 for Emergency Room services.
Dental Care
Preventative care like dental exams, x-rays, and teeth cleanings are fully covered. For restorative dental work, youýll only pay between $35 ý $100, depending on the kind of work done.
Vision Care
Under the Blue Shield Essential Plan, you can get eye exams for only $5.
Prescription Drugs
With the Essential Plan, generic prescription drugs are just $10. The Essential Plan does not cover brand name drugs. If you rely on a brand-name prescription medication, consider one of Blue Cross Blue Shield of Californiaýs other health plans, such as the Shield Spectrum Plan.
Other Services
The Essential Plan also covers additional services to keep you healthy. These include family planning consultations and services, Home Health Services, physical therapy, and mental health services.
The Blue Shield Essential Plan does not cover maternity care. But Essential Plan members who become pregnant can easily enroll in the Shield Spectrum program.
Remember, the Blue Shield Essential Plan is an individual healthcare plan. Your coverage wonýt extend to your spouse or family. But many families find they can save money by purchasing individual policies, instead of buying one plan to cover everyone.
Want to learn more? Apply now and weýll help you choose the best plan for your healthcare and wellness needs.
Ready to apply?
Need to know more?
| 
