With premiums as much as 25 percent lower than our two most popular major medical plans, AffordaBlue also provides our members access to 98 percent of all doctors and hospitals in Kansas (excluding Johnson and Wyandotte counties).
Learn how the Blue Choice network enhances your AffordaBlue coverage
Benefit Summary
Home & Office Visit Services*
$25 copayment per visit. Maximum of five visits for each covered person (15 visits for three or more persons) each benefit period.
Accidental Injuries*
$50 copayment for initial outpatient visit within 60 days of injury. If admitted within 24 hours of initial visit, copayment is waived and benefits are provided under "Other Covered Services"
Outpatient Radiology & Lab Services*
Covered services, including services for accidental injuries, are paid at 100 percent of allowable charges up to a combined maximum of $300 for each covered person ($900 for three or more persons) each benefit period.
Outpatient Prescription Drugs (optional)
Benefits are paid at 50 percent after a $100 deductible per covered person is met ($300 for three or more persons).
Other Covered Services
A choice of deductibles are available for benefits that include:
Deductible and Coinsurance
Covered (non-routine/non-preventive) medical services are subject to a deductible of either $1,000 or $2,000 for each covered person ($3,000 or $6,000 maximum for three-or-more persons). After the deductible is met, you pay 20 percent of allowable charges to a maximum out-of-pocket expense of $1,000 for each covered person ($3,000 three-or-more persons).
As an alternative, you may choose a deductible of $1,000 ($3,000 maximum for three-or-more persons). After the deductible, you pay 50% of allowable charges to a maximum out-of-pocket expense of $5,000 ($15,000 maximum for three-or-more persons).
Optional Benefits:
Exclusions
See the Exclusions page for details.
Additional Program Information
More Information
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