Blue Precision – Silver HMO Plans – 2024
Our Rating: 
The plans below use the Blue Precision HMO network, one the largest HMO networks in Illinois. You must select a network primary care physician (PCP), who coordinates your care within the network and referrals are required from your PCP to see a specialists. Silver plans may be for you if you want to pay less out-of-pocket for care, qualify for a premium tax credit (also known as a subsidy), have a spouse/children on your health plan, or have regular medical needs.
Below is a summary of the four Blue Precision Silver Plan Options. Please visit the tabs above to see plan information in detail.
There are 4 Silver HMO plans:
- Blue Precision Silver HMO 206– $4,400 individual deductible and 50% coinsurance
- Blue Precision Silver HMO 306 – $6,000 individual deductible and 50% coinsurance
- Blue Precision Silver HMO 704– $7,000 individual deductible and 50% coinsurance
- Blue Precision Silver HMO℠ Standard – Select Rx Copays (previously 706) – $5,000 individual deductible and 40% coinsurance
Compare the features, options and costs of Bronze® plans to find the one that’s right for you.
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See toggles below for plan comparisons. Information is based on Participating Providers. For Non-Participating Provider information, please download the plan summaries listed above.
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Deductibles
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Overall Deductible Individual/Family | $4,400 / $8,800 | $6,000 / $12,00 | $7,000 / $14,000 | $5,000 / $10,000 |
| Are there services covered before you meet deductible | Yes. | Yes. | Yes. | Yes. |
| Are there other deductibles for specific services | No. | No. | No. | No. |
| Out-of-pocket limit Individual/Family** | $9,200 / $18,400 | $9,200 / $18,400 | $7,900 / $15,800 | $8,000 / $16,000 |
| Will you pay less if you use network provider? | Yes. | Yes. | Yes. | Yes. |
| Referral to see a specialist? | Yes. | Yes. | Yes. | Yes. |
**Premiums, balance billing & health care this plan doesn’t cover are not included in the out-of-pocket limit
Office Visit / Testing
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Primary Care for injury/illness | $35/visit | $15/visit | $65/visit | $40/visit |
| Specialist visit | $65/visit | $40/visit | $90/visit | $80/visit |
| Preventative care/screening | No Charge | No Charge | No Charge | No Charge |
| Diagnostic test (xray, blood) | $20/test | $35/test | $90/test | 40% |
| Imaging (CT/PET/MRI) | $350/test | $250/test | $250/test | 40% |
Generic / Brand / Specialty Drug Comparison
If you need Drugs to treat your illness or condition. For information on whether or not deductibles apply, please download the plan summaries
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Generic Drugs (Preferred) | No Charge | $10 / $30 | $5/$15 | $20 / $60 |
| Generic Drugs (Non Preferred) | 10% | $20 / $60 | $15 / $45 | $20 / $60 |
| Brand drugs (Preferred) | 20% | 30% | 35% | $40 / $120 |
| Brand Drugs Non Preferred | 30% | 40% | 40% | $80 / $240 |
| Specialty Drugs Preferred | 40% | 45% | 45% | $350 |
| Specialty Drugs Non Preferred | 50% | 50% | 50% | $350 |
Outpatient Surgery / Emergency Comparison
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Facility Fee Freestanding | 50% | $600/visit + 50% | $350/visit + 50% | 40% |
| Facility fee Hospital | NA | NA | NA | NA |
| Physician/surgeon Fee | $35/visit | $200/visit | $90/visit | 40% |
| Emergency Room Care | $1,000/visit + 50% | $1,000/visit + 50% | $1,200/visit + 50% | 40% |
| Emergency Medical Transportation | 50% | 50% | 50% | 40% |
| Urgent Care | $65/visit | $40/visit | $90/visit | $60/visit |
Hospital Stay / Health Services / Pregnancy
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Facility Fee for hospital stay | $500/visit + 50% | $850/visit + 50% | $500/visit + 50% | 40% |
| Physician/surgeon Fees | No Charge | No Charge | No Charge | No Charge |
| Mental health, behavioral health, or substance abuse services: Outpatient | $35 office, 50% other | $15 office, 30% other | $65 office, 50% other | $40 office, 40% other |
| Mental health, behavioral health, or substance abuse services: Inpatient | $500/visit + 50% | $850/visit + 50% | $500/visit + 50% | 40% |
| If you are pregnant – office visit | Primary: $35 / Specialist: $65 | Primary: $15 / Specialist: $40 | Primary: $65 / Specialist: $90 | Primary: $40 / Specialist: $80 |
| Childbirth/delivery/professional services | No Charge | No Charge | No Charge | No Charge |
| Childbirth/delivery facility services | $500/visit + 50% | $850/visit + 50% | $500/visit + 50% | 40% |
Help recovering / other special needs
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Home Health Care | No Charge | No Charge | No Charge | No Charge |
| Rehabilitation Services | $35/visit | $15/visit | $65/visit | $40/visit |
| Habilitation services | $35/visit | $15/visit | $65/visit | $40/visit |
| Skilled nursing care | 50% | 50% | 50% | 40% |
| Durable medical equipment | No Charge | No Charge | No Charge | No Charge |
| Hospice services | 50% | 50% | 50% | 40% |
Childrens Dental / Eye care
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Children’s eye exam | No Charge | No Charge | No Charge | No Charge |
| Children’s Glasses | No Charge | No Charge | No Charge | No Charge |
| Children’s Dental check-up | Not Covered | Not Covered | Not Covered | Not Covered |
Excluded & Other Covered Services
Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.)
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Acupuncture | ✓ | ✓ | ✓ | ✓ |
| Dental Care (Adult) | ✓ | ✓ | ✓ | ✓ |
| Long-term Care | ✓ | ✓ | ✓ | ✓ |
| Non-emergency care when traveling outside of US | ✓ | ✓ | ✓ | ✓ |
| Weight loss programs | ✓ | ✓ | ✓ | ✓ |
Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)
| 206 | 306 | 704 | Silver HMO Standard – Select Rx Copays | |
| Abortion care | ✓ | ✓ | ✓ | ✓ |
| Bariatric surgery | ✓ | ✓ | ✓ | ✓ |
| Chiropractic care | ✓ | ✓ | ✓ | ✓ |
| Cosmetic surgery | ✓ | ✓ | ✓ | ✓ |
| Hearing aids | ✓ | ✓ | ✓ | ✓ |
| Infertility treatment | ✓ | ✓ | ✓ | ✓ |
| Private-duty nursing | ✓ | ✓ | ✓ | ✓ |
| Routine eye care | ✓ | ✓ | ✓ | ✓ |
| Routine Foot Care | ✓ | ✓ | ✓ | ✓ |
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