Foundation Hospital Care Plan
- Hospitalization Only Health Insurance
PPO Foundation Hospital Care Overview
Our Rating: 
Foundation Hospital Care provides basic coverage at the lowest price. It provides coverage where inpatient care is necessary that includes hospitalization, surgery, testing and emergency medical services, but does not cover outpatient doctor office visits and prescriptions.
After you meet your calendar year deductible, the Network Foundation Hospital Care plan pays 80% and you pay 20% of covered expenses until you reach the $5,000 out-of-pocket maximum for individuals and $15,000 for families. Emergency Room visits are subject to a $200 co-payment amount and calendar year deductible, then pays 80% and you pay 20%.
The Foundation Hospital Care plan is a good choice for those seeking the lowest cost, but needing coverage for health services most likely to involve catastrophic expenses. The plan also offers affordable, child-only coverage with premiums based on the age of your child. For parents on an employer plan that do not cover children, this an affordable coverage alternative to paying expensive dependent premiums. If you have one than more child, one application per child is required.
Key Foundation Hospital Care® plan features include:
- Access to the BlueChoice hospital network, one of the largest PPO hospital networks in Texas
- $5,000 individual and $15,000 family in-network deductible
- 80% coinsurance after your deductible with a maximum of $10,000 for individuals and $30,000 for families
- Inpatient hospital services
- Hospital emergency facility services for emergencies and accidents (subject to $200 copay)
- $2,000,000 lifetime maximum per person
Foundation Hospital Care® may be right for you if you are an individual or family who are:
Foundation Hospital Care may be right for you if you:
- Are young and healthy
- Do not regularly visit a doctor
- Don't usually take prescription medication
- Solely want a safety net for unanticipated hospitalization expenses
Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Texas family.
Foundation Hospital Care Costs
Health insurance costs include monthly premium payments, individual/family deductibles, out-of-pocket expenses, copayments, and coinsurance. Here is what you can expect with Foundation Hospital Care® plans:
- $5,000 individual deductible for individuals (for in-network) t
- $15,000 family deductibles (in-network)
- You pay 20% coinsurance of services provided in-network, after the deductible
- Annual out-of-pocket maximum of $5,000 for individuals and $15,000 for families (in-network)
What's Included with Foundation Hospital Care
- Freedom to choose your hospital each and every time you need inpatient hospital care
- 24 hour worldwide coverage
- BlueCard® Program
- No balance billing above the allowable amount when network providers are used
- Usually no claims to file for inpatient hospital services
- Coverage for inpatient hospital expenses, including approved treatments and therapies
- Hospice facility expenses
- Skilled facility expenses
- Ground and air ambulance services
- Emergency care