Q:

What are benefits under the Security Blue Value HMO plan from Highmark?

A:

Quick Answer

Benefits for the Security Blue Value HMO plan from Highmark include low cost co-payments for doctor's office visits and set fees for other services. This HMO offers an out-of-pocket spending cap of $6,700 as of 2015, according to HealthPocket.

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Full Answer

Policyholders can expect to pay $5 per visit to their primary care physicians and $30 for each visit to a specialist, according to HealthPocket. No additional in-network deductibles exist for patients.

Each ambulance ride costs $100 for the policyholder. Beneficiaries find that emergency room visits only cost $65 per visit, and coverage is always guaranteed, explains HealthPocket. Mental health care hospital stays never exceed $350. In-patient hospital care requires the patient to pay $350 per stay. Renal dialysis coverage is full, and the patient pays nothing. Another area where the patient pays nothing is for home health care needs.

Outpatient surgery means a $200 payment per visit for the policyholder. When a patient needs a skilled nursing facility, the policy offers outstanding benefits, notes HealthPocket. For the first 20 days, patients pay nothing, while they pay $150 per day for the next 80 days of in-patient care. When it comes to durable medical equipment, the policy covers 80 percent of the total cost.

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