Sarah Johnson

Active

PT-2024-001 Last visit: Nov 15, 2024

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Primary

Blue Cross Blue Shield

PPO - Preferred Provider Organization

Verified Verified Mar 15, 2026

Policy Number

BCBS-789456123

Group Number

GRP-2024-5678

Member ID

MEM-123456789

Effective Date

Jan 1, 2024 - Dec 31, 2024

Coverage Details

Deductible

$500

$200 remaining

Copay

$25

Primary Care

Coinsurance

20%

After deductible

Aetna Better Health

Secondary

HMO - Health Maintenance Organization

Policy Number

AET-123456789

Member ID

AET-MEM-987654

Prior Authorizations

MRI - Lower Back

Approved

Auth #: AUTH-2026-0317

Valid through Jun 30, 2026

Cardiac Stress Test

Pending

Auth #: AUTH-2026-0318

Submitted Mar 17, 2026

Insurance Actions

Coverage Status

Active and verified

Out-of-Pocket Max $3,000

Current OOP $850

Remaining $2,150

Insurance Card

Blue Cross Blue Shield

SARAH JOHNSON

MEM-123456789

GROUP

GRP-2024-5678

RX BIN

123456