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BlueCross BlueShield of Texas Health Care Costs
 



Insurance Plan Highlights

Foundation Hospital Care, an inpatient-only Preferred Provider Health Insurance Plan, offers you and your family:

  • Choice of inpatient providers and hospitals (out-of-network covered at a lower level of benefit)
  • Lifetime maximum coverage of up to $2 million per person after deductible, copay and coinsurance
  • Calendar year deductible of $5,000 individual and $15,000 family for in-network services
  • Calendar year out-of-pocket maximums of up to $5,000 individual and $15,000 family for in-network services
  • Emergency care coinsurance of 20 percent of the allowable amount after deductible and copay (in-network and out-of-network hospital charges within 48 hours of admittance are covered; physician charges are not covered)
  • In-network medical expenses coinsurance of 20 percent of the allowable amount after deductible
  • Human organ transplant benefits of $300,000 lifetime maximum after deductible, copay and coinsurance
  • Virtually 24-hour worldwide emergency care through BlueCard Worldwide
  • Virtually nationwide emergency and non-emergency care through BlueCard PPO

Insurance Plan Details

* Texas Department of Insurance Form: PPO-In Hospital-OLC-1
A Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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