BCBSGa - Blue Value Plan 3000 is our most popular plan!

These rates are available for applicants enrolling July 1, 2009 through September 30, 2009.

Blue Value Plan 3000 is a lower cost plan that protects you from big medical expenses like hospital stays and gives you coverage for everyday worries like doctor visits and prescription drugs. And through 360º Health, you have access to wellness information resources along with case and care management services, all designed to help you achieve better health.

RATES - AREAS 1 & 2 - Use these rates if you live in Baldwin, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brooks, Burke, Butts, Calhoun, Cherokee, Clarke, Clayton, Cobb, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dekalb, Dodge, Dougherty, Douglas, Elbert, Emanuel, Fayette, Forsyth, Fulton, Glascock, Grady, Greene, Gwinnett, Hancock, Henry, Houston, Irwin, Jackson, Jasper, Jefferson, Jenkins, Johnson, Jones, Laurens, Lanier, Lee, Lincoln, Lowndes, McDuffie, Madison, Montgomery, Monroe, Morgan, Newton, Oconee, Oglethorpe, Paulding, Peach, Pulaski, Putnam, Randolph, Richmond, Rockdale, Screven, Spalding, Taliaferro, Telfair, Terrell, Thomas, Tift, Treutlen, Turner, Twiggs, Walton, Warren, Washington, Wheeler, Wilcox, Wilkinson, Wilkes, and Worth Counties

BLUE VALUE PLAN 3,000
Age	Male	Female	Family
0-19	$89.09	$89.09	$383.19
20-24	96.11	120.62	427.02
25-29	115.24	145.70	491.79
30-34	122.25	187.22	566.28
35-39	155.99	220.96	522.55
40-44	182.22	241.14	510.92
45-49	234.99	295.75	595.69
50-54	287.85	324.37	652.88
55-59	358.49	367.52	730.92
60-64	500.44	439.90	881.23
65+	500.44	439.90	881.23

RATES - AREA 3 - Use these rates if you live in Appling, Atkinson, Bacon, Baker, Banks, Brantley, Bryan, Bulloch, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Clay, Clinch, Coffee, Dade, Dawson, Decatur, Dooly, Early, Echols, Effingham, Evans, Fannin, Floyd, Franklin, Gilmer, Glynn, Gordon, Habersham, Hall, Haralson, Harris, Hart, Heard, Jeff Davis, Lamar, Liberty, Long, Lumpkin, McIntosh, Macon, Marion, Meriwether, Miller, Mitchell, Murray, Muscogee, Pickens, Pierce, Pike, Polk, Quitman, Rabun, Schley, Seminole, Stephens, Stewart, Sumter, Talbot, Tattnall, Taylor, Toombs, Towns, Troup, Union, Upson, Walker, Ware, Wayne, Webster, Whitfield or White County.

BLUE VALUE PLAN 3,000
Age	Male	Female	Family
0-19	$81.97	$81.97	$352.54
20-24	88.42	110.97	392.86
25-29	106.02	134.05	452.45
30-34	112.47	172.24	520.98
35-39	143.51	203.28	480.75
40-44	167.65	221.85	470.05
45-49	216.19	272.07	548.03
50-54	264.82	298.42	600.65
55-59	329.81	338.12	672.44
60-64	460.41	404.70	810.73
65+	559.79	493.39	932.58

Blue Value Plan 3000 Benefits:

Plan Type: PPO
Calendar Year Deductible In-network: $3000
Calendar Year Deductible Out-of-network: $6000
Calendar Year Coinsurance Maximum In-network: $2000
Calendar Year Coinsurance Maximum Out-of-network: No limit
Coinsurance In-network: Plan pays 70%
Coinsurance Out-of-network: Plan pays 60%Atlanta Georgia Manager
Physician Choice: You choose specialist(s)
Physician Office Visit In-network: $40 copay for first 6 visits not subject to calendar year deductible; After 6 visits, Plan pays 70% after deductible is met
Physician Office Visit Out-of-network: Plan pays 60% after deductible is met
Prescription Drugs: Calendar Year Prescription Drug Deductible: $300; Generic Formulary: $15; Brand Formulary: $30; Non-Formulary: $45
Preventive Care Adults In-network: Plan pays 70%
Preventive Care Adults Out-of-network: Plan pays 60%
Preventive Care Children In-network: Plan pays 70%
Preventive Care Children Out-of-network: Plan pays 60%
Lab/X-ray, Surgery, Radiation, Anesthesia In-network: Plan pays 70%
Lab/X-ray, Surgery, Radiation, Anesthesia Out-of-network: Plan pays 60%
Outpatient Care In-network: Plan pays 70%
Outpatient Care Out-of-network: Plan pays 60%
Hospital Inpatient Services In-network: Plan pays 70%
Hospital Inpatient Services Out-of-network: Plan pays 60%
Physical/Occupational Therapy, Chiropractic In-network: Plan pays 70%, 30 visits per specialty per year
Physical/Occupational Therapy, Chiropractic Out-of-network: Plan pays 60%, per specialty per year
Behavioral Health/Substance Abuse Hospital Inpatient: $100 per day; $3000 calendar year maximum; $10,000 lifetime maximum
Behavioral Health/Substance Abuse Outpatient: Not covered
Maternity Physician In-network: Plan pays 100%
Maternity Physician Out-of-network: Plan pays 70%
Maternity Facility In-network: $3,000 copay then Plan pays 100%
Maternity Facility Out-of-network: $3,000 copay then Plan pays 70%
Emergency Room Copayment: $150
Emergency Room Medical Emergency or Accident: Plan pays 100% after $150 copay; Not subject to calendar year deductible
Emergency Room Non-Medical Emergency or Non-Serious Accidental Injury: Plan pays 70% in-network and 60% out-of-network after $150 copay and deductible is met
Speech Therapy, Respiratory Therapy, Skilled Care: Plan pays 70% in-network, Plan pays 60% out-of-network, limited to 30 visits per specialty per year

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