Plans can differ in a number of ways including deductible level and copay. Choose the plans that meet your needs and save them to your profile. You can then access them later, print to share, or get a quote.

Standard HMO & Deductible Plans

  • BCN 5
  • BCN 10 No Deductible
  • BCN $500 Deductible
  • BCN $1000 Deductible
  • BCN $1500 Deductible
  • BCN $2000 Deductible
  • BCN $3000 Deductible
  • BCN $4000 Deductible
  • BCN $5000 Deductible
  • BCN $7500 Deductible

Office Visit Copay

  • $15
  • $20
  • $30

Emergency Room Copay

  • $75
  • $100
  • $150

Urgent Care Copay

  • $30
  • $50

Coinsurance

(for deductible plans only)

  • 10%
  • 20%
  • 30%
  • 0%

(for deductible plans $1000+)

HMO

  • detail
  • quote
  • BCN5/BCN10
  • HMO $1000 Deductible / 0% / Copay Option 1
  • HMO $1000 Deductible / 0% / Copay Option 2
  • HMO $1000 Deductible / 20% / Copay Option 1
  • HMO $1000 Deductible / 20% / Copay Option 2
  • HMO $2000 Deductible / 0% / Copay Option 1
  • HMO $2000 Deductible / 0% / Copay Option 2
  • HMO $2000 Deductible / 20% / Copay Option 1
  • HMO $2000 Deductible / 20% / Copay Option 2
  • HMO $3000 Deductible / 0% / Copay Option 1
  • HMO $3000 Deductible / 0% / Copay Option 2
  • HMO $3000 Deductible / 20% / Copay Option 1
  • HMO $3000 Deductible / 20% / Copay Option 2
  • HMO $4000 Deductible / 0% / Copay Option 1
  • HMO $4000 Deductible / 0% / Copay Option 2
  • HMO $4000 Deductible / 20% / Copay Option 1
  • HMO $4000 Deductible / 20% / Copay Option 2
  • HMO Basic
  • HMO Basic 2
  • One Subscriber Group Plan 1000 - HMO
  • One Subscriber Group Plan 3000 - HMO

Drug Plan

  • 50%
  • Savings Plus $0/$40/75%
  • Savings Plus $4/$20/75%
  • Savings Plus $4/$40/75%
  • Savings Plus $4/$60/75%
  • Triple-Tier $10/$20/$40
  • Triple-Tier $15/$50/50%
  • Triple-Tier $20/$60/50%
  • Two-Tier $10/$20
  • Two-Tier $10/$40
  • Two-Tier $15/$50
  • Two-Tier $5/$30

HMO with Wellness Incentives

  • detail
  • quote
  • HMO with Wellness Incentives $0 Deductible / 25% Coinsurance
  • HMO with Wellness Incentives $1000 Deductible / 20% Coinsurance
  • HMO with Wellness Incentives $2000 Deductible / 20% Coinsurance
  • HMO with Wellness Incentives $250 Deductible / 20% Coinsurance
  • HMO with Wellness Incentives $500 Deductible / 20% Coinsurance
  • HMO with Wellness Incentives $750 Deductible / 20% Coinsurance
  • Triple Tier HMO with Wellness Incentives Option 1
  • Triple Tier HMO with Wellness Incentives Option 2
  • Triple Tier HMO with Wellness Incentives Option 3

Drug Plan

  • E- $10/$20 S-$10/$40
  • E- $10/$20 S-$15/$50
  • E- $10/$20 S-50% ($5/$100)
  • E- $10/$40 S-$15/$50
  • E- $10/$40 S-50% ($5/$100)
  • E- $5/$30 S-$10/$40
  • E- $5/$30 S-$15/$50
  • E- $5/$30 S-50% ($5/$100)
  • Triple Tier Wellness Incentives A
  • Triple Tier Wellness Incentives B
  • Triple Tier Wellness Incentives C
  • Triple Tier Wellness Incentives D
  • Triple Tier Wellness Incentives E

Consumer Driven Healthcare

  • detail
  • quote
  • CDH Deductible A / 0% Coinsurance / $0 Annual Out-of-Pocket Max
  • CDH Deductible A / 20% Coinsurance / $1000 Annual Out-of-Pocket Max
  • CDH Deductible A / 20% Coinsurance / $2000 Annual Out-of-Pocket Max
  • CDH Deductible A / 30% Coinsurance / $1000 Annual Out-of-Pocket Max
  • CDH Deductible A / 30% Coinsurance / $2000 Annual Out-of-Pocket Max
  • CDH Deductible B / 0% Coinsurance / $0 Annual Out-of-Pocket Max
  • CDH Deductible B / 20% Coinsurance / $1000 Annual Out-of-Pocket Max
  • CDH Deductible B / 20% Coinsurance / $2000 Annual Out-of-Pocket Max
  • CDH Deductible B / 30% Coinsurance / $1000 Annual Out-of-Pocket Max
  • CDH Deductible B / 30% Coinsurance / $2000 Annual Out-of-Pocket Max
  • CDH Deductible C / 0% Coinsurance / $0 Annual Out-of-Pocket Max
  • CDH Deductible C / 20% Coinsurance / $1000 Annual Out-of-Pocket Max
  • CDH Deductible C / 20% Coinsurance / $2000 Annual Out-of-Pocket Max
  • CDH Deductible C / 30% Coinsurance / $1000 Annual Out-of-Pocket Max
  • CDH Deductible C / 30% Coinsurance / $2000 Annual Out-of-Pocket Max

Drug Plan

  • $10/$40 Closed Formulary
  • $15/$50/50% Open Formulary
  • $15/40% Closed Formulary
  • $20/$60/50% Open Formulary
  • Flexible Blue Rx
  • Flexible Blue Rx with Cost Management
  • Flexible Blue Two-Tier $10/$60

PPO

  • detail
  • quote
  • One Subscriber Group Plan - PPO
  • One Subscriber Group Plan - PPO Low Premium-Limited Coverage Plan
  • PPO $0 Deductible / 0% Coinsurance
  • PPO $100 Deductible / 10% Coinsurance
  • PPO $1000 Deductible / 0% Coinsurance
  • PPO $1000 Deductible / 20% Coinsurance
  • PPO $1000 Deductible / 20% Coinsurance with Integrated Vision and Dental
  • PPO $1000 Deductible / 20% Coinsurance with Packaged Copays
  • PPO $1500 Deductible / 0% Coinsurance
  • PPO $1500 Deductible / 20% Coinsurance
  • PPO $250 Deductible / 10% Coinsurance with Integrated Vision and Dental
  • PPO $250 Deductible / 20% Coinsurance
  • PPO $2500 Deductible / 0% Coinsurance
  • PPO $2500 Deductible / 20% Coinsurance
  • PPO $2500 Deductible / 20% Coinsurance with Packaged Copays
  • PPO $3000 Deductible / 0% Coinsurance
  • PPO $3000 Deductible / 20% Coinsurance
  • PPO $4000 Deductible / 0% Coinsurance
  • PPO $4000 Deductible / 20% Coinsurance
  • PPO $500 Deductible / 20% Coinsurance
  • PPO $5000 Deductible / 0% Coinsurance
  • PPO $5000 Deductible / 20% Coinsurance
  • PPO $750 Deductible / 40% Coinsurance
  • PPO Low Premium-Limited Coverage Plan
  • PPO with Wellness Incentives / $1000 Deductible with Chiropractic Benefits
  • PPO with Wellness Incentives / $1000 Deductible without Chiropractic Benefits
  • PPO with Wellness Incentives / $1500 Deductible with Chiropractic Benefits
  • PPO with Wellness Incentives / $1500 Deductible without Chiropractic Benefits
  • PPO with Wellness Incentives / $500 Deductible with Chiropractic Benefits
  • PPO with Wellness Incentives / $500 Deductible without Chiropractic Benefits

Drug Plan

  • $10/$40 Closed Formulary (50+ Enrolled Only)
  • $10/$40/$80 Open Formulary
  • $15/$30/$60 Open Formulary
  • $15/$50/50% Open Formulary
  • $15/40% Closed Formulary (50+ Enrolled Only)
  • $20/$60/50% Open Formulary
  • $5/$25/$50 Open Formulary
  • $7/$35/$70 Open Formulary
  • Triple-Tier $15/$30/$60 (50+ Enrolled Only)
  • Two-Tier $10/$20 (50+ Enrolled Only)
  • Two-Tier $10/$40 (50+ Enrolled Only)
  • Two-Tier $10/$60 (50+ Enrolled Only)
  • Two-Tier $15/$30 (50+ Enrolled Only)
  • Two-Tier $15/$50 (50+ Enrolled Only)


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