Insurance
Patient insurance information and coverage
Blue Cross Blue Shield
Primary Insurance Provider
Active
Sarah Johnson
BCBS-2024-88921
GRP-5678901
January 1, 2024
December 31, 2024
$25 (Primary Care) / $45 (Specialist)
Deductible Status
Individual Deductible
$1,500 / $2,500
$1,000 remaining to meet deductible
Out-of-Pocket Maximum
$3,200 / $6,000
$2,800 remaining until maximum
Coverage Summary
Office Visits
80% covered
Prescriptions
90% covered
Imaging (X-Ray, MRI)
70% covered
Lab Work
100% covered
Recent Claims
View All| Service | Date | Provider | Amount | Status |
|---|---|---|---|---|
| Annual Physical | Nov 15, 2024 | Dr. Sarah Smith | $150.00 | Processed |
| Lab Work - Blood Panel | Nov 15, 2024 | Quest Diagnostics | $85.00 | Pending |
| X-Ray - Chest | Oct 22, 2024 | Metro Imaging | $210.00 | Processed |
Aetna Medicare
Secondary Insurance Provider
Secondary
Sarah Johnson
AET-MED-445566
January 1, 2024
Medicare Supplement Plan G