Shared Cost Blue EPO Platinum 0 EPO

Highmark Blue Cross Blue Shield Delaware
Platinum
The Shared Cost Blue EPO Platinum 0 is a health plan issued by Highmark Blue Cross Blue Shield Delaware for the year 2025. The plan is offered by the U.S. federal government through Healthcare.gov under the Affordable Care Act.

Overview

Plan issuer
Highmark Blue Cross Blue Shield Delaware
Child-only offering
Allows Adult and Child-Only
Adult dental coverage
No
Child dental coverage
Yes
Plan type
EPO

The Shared Cost Blue EPO Platinum 0 plan is an Exclusive Provider Organization (EPO) plan. Your care is limited to doctors and hospitals within the plan's network, except in emergencies. Out-of-network care is usually not covered.

Metal level
Platinum

The metal type provides an estimate of how you and your insurance split the costs of healthcare. Platinum plans have:

  • Highest monthly premium
  • Lowest costs when you need care
  • Deductibles are veyu low

Platinum plans may be a good value if you use a lot of medical care and are willing to pay a high monthly premium, knowing that most of your medical costs will be covered.

Contact

Customer service number
1-877-959-2563
Toll-free customer service number
1-877-959-2563

Coverage

Doctor coverage

Primary care physician visit cost
$5
Specialist visit cost
$5
Emergency visit cost
$100
Inpatient facility cost
10%
Inpatient physician cost
10%

Drug coverage

Generic drug cost
No Charge
Preferred brand drug cost
$10
Non-preferred brand drug cost
$50
Specialty drug cost
50%

Deductible

Individual
Medical deductible individual
$0
Drug deductible individual
$0
Medical maximum out of pocket individual
$5,000
Drug maximum out of pocket individual
Included in Medical
Family
Medical deductible family
$0
Drug deductible family
Not Applicable
Medical maximum out of pocket family
$10,000
Drug maximum out of pocket family
Included in Medical
Family per person
Medical deductible family per person
$0
Drug deductible family per person
Not Applicable
Medical maximum out of pocket family per person
$5,000
Drug maximum out of pocket family per person
Included in Medical

Premium payment

The premium is the amount you pay for health insurance each month. This does not include other healthcare costs such as your deductible, copayments, and coinsurance.

Your premium depends on who is covered by the insurance and their ages. Generally, premiums increase if there are more people covered or if people covered are older.

Premium rates

Coverage Monthly premium Annual premium
Child (age 0-14) $398.06 $4,776.72
Child (age 18) $475.07 $5,700.84
Adult individual (age 21) $520.34 $6,244.08
Adult individual (age 27) $545.32 $6,543.84
Adult individual (age 30) $590.59 $7,087.08
Adult individual (age 40) $664.99 $7,979.88
Adult individual (age 50) $929.33 $11,151.96
Adult individual (age 60) $1,412.20 $16,946.40
Couple (age 21) $1,040.68 $12,488.16
Couple (age 30) $1,181.18 $14,174.16
Couple (age 40) $1,329.98 $15,959.76
Couple (age 50) $1,858.66 $22,303.92
Couple (age 60) $2,824.40 $33,892.80
Couple (age 21) plus 1 child $1,438.74 $17,264.88
Couple (age 30) plus 1 child $1,579.24 $18,950.88
Couple (age 40) plus 1 child $1,728.04 $20,736.48
Couple (age 50) plus 1 child $2,256.72 $27,080.64
Couple (age 21) plus 2 children $1,836.80 $22,041.60
Couple (age 30) plus 2 children $1,977.30 $23,727.60
Couple (age 40) plus 2 children $2,126.10 $25,513.20
Couple (age 50) plus 2 children $2,654.78 $31,857.36
Couple (age 21) plus 3 or more children $2,234.86 $26,818.32
Couple (age 30) plus 3 or more children $2,375.36 $28,504.32
Couple (age 40) plus 3 or more children $2,524.16 $30,289.92
Couple (age 50) plus 3 or more children $3,052.84 $36,634.08
Single parent (age 21) plus 1 child $918.40 $11,020.80
Single parent (age 30) plus 1 child $988.65 $11,863.80
Single parent (age 40) plus 1 child $1,063.05 $12,756.60
Single parent (age 50) plus 1 child $1,327.39 $15,928.68
Single parent (age 21) plus 2 children $1,316.46 $15,797.52
Single parent (age 30) plus 2 children $1,386.71 $16,640.52
Single parent (age 40) plus 2 children $1,461.11 $17,533.32
Single parent (age 50) plus 2 children $1,725.45 $20,705.40
Single parent (age 21) plus 3 or more children $1,714.52 $20,574.24
Single parent (age 30) plus 3 or more children $1,784.77 $21,417.24
Single parent (age 40) plus 3 or more children $1,859.17 $22,310.04
Single parent (age 50) plus 3 or more children $2,123.51 $25,482.12

Source

Our data is directly sourced from Healthcare.gov, the U.S. federal government's Health Insurance Marketplace®, created under the Affordable Care Act.