Page 29 - Demo

COST OF CARE$12,800TRS-ACTIVECARE PRIMARYTRS-ACTIVECARE PRIMARY+ TRS-ACTIVECARE HDDeductible $2,500 $1,200 $3,300Coinsurance 30% after deductible 20% after deductible 30% after deductibleCopay/coinsurance for PCP (OB/GYN is not a specialist)Global billing applies, so Lauren is only charged for the first office visit.$30 $15 30% after deductibleLabs/ultrasounds $0 $0 30% after deductibleDELIVERY CHARGES $11,500Coinsurance for delivery 30% after deductible 20% after deductible 30% after deductibleAnesthesia 30% after deductible 20% after deductible 30% after deductibleHospital/facility coinsurance 30% after deductible 20% after deductible 30% after deductibleWHAT LAUREN MAY PAY BASED ON $12,800 TOTAL COST OF CAREDeductible $2,500 $1,200 $3,300Copays $30 $15 Part of deductibleCoinsurance $2,700 $2,060 $2,850Health plan paid $7,570 $9,525 $6,650Total paid by Lauren $5,230 $3,275 $6,150Let%u2019s see what having a baby may cost with each TRS-ActiveCare plan using in-network providers, services, facilities, and labs.This example is for the mother only and includes:%u2022 initial OB/GYN visit%u2022 prenatal and postpartum care%u2022 lab work%u2022 hospital and deliverywww.bcbstx.com/trsactivecare 29