2018 Special Enrollment

Individual and Family Health Plans

Gold Metal Plans are based strictly on the share of healthcare costs ?

Consider a Gold plan if:

- You have regular prescriptions
- You use healthcare services often

WE OFFER THREE GOLD PLANS. $ = Financial Assistance Available

  • Blue HSA Gold

    • Calendar Year Deductible:
      $1,600 Self-only / $3,200 Family
    • Out-of-Pocket Maximum:
      $4,000 Self-only / $8,000 Family
    • Primary Care and Specialist Office Visit:
      You pay 10% after meeting the calendar year deductible
  • Blue Value Gold $

    • Calendar Year Deductible:
      $750 Individual / $1,500 Family
    • Out-of-Pocket Maximum:
      $6,000 Individual / $12,000 Family
    • Primary Care Office Visit:
      $40 copay. Receive a discounted copay of $25 copay when visiting your designated Primary Care Select Physician
    • Specialist Office Visit:
      $60 copay. Receive a discounted copay of $45 copay when referred by designated Primary Care Select Physician
  • Blue Cross Select Gold $

    • Calendar Year Deductible:
      $850 Individual / $1,700 Family
    • Out-of-Pocket Maximum:
      $6,000 Individual / $12,000 Family
    • Primary Care Office Visit:
      $35 copay. Each member must designate a Primary Care Select Physician
    • Specialist Office Visit:
      $50 copay when referred by designated Primary Care Select Physician
    • Review important requirements to receive benefits.

Silver Metal Plans are based strictly on the share of healthcare costs ?

Consider a Silver plan if:

- You want lower monthly premiums
- You use healthcare services every so often

WE OFFER THREE SILVER PLANS.
$ = Financial Assistance Available

  • Blue Secure Silver

    • Calendar Year Deductible:
      $2,200 Individual / $4,400 Family
    • Out-of-Pocket Maximum:
      $7,150 Individual / $14,300 Family
    • Primary Care Office Visit:
      $40 copay
    • Specialist Office Visit:
      $65 copay
  • Blue Value Silver $

    • Calendar Year Deductible:
      $2,600 Individual / $5,200 Family
    • Out-of-Pocket Maximum:
      $6,850 Individual / $13,700 Family
    • Primary Care Office Visit:
      $50 copay. Receive a discounted copay of $40 when visiting your designated Primary Care Select Physician
    • Specialist Office Visit:
      $65 copay. Receive a discounted copay of $55 copay when referred by designated Primary Care Select Physician
  • Blue Cross Select Silver $

    • Calendar Year Deductible:
      $2,800 Individual / $5,600 Family
    • Out-of-Pocket Maximum:
      $7,350 Individual / $14,700 Family
    • Primary Care Office Visit:
      $40 copay. Each member must designate a Primary Care Select physician
    • Specialist Office Visit:
      $65 copay when referred by designated Primary Care Select Physician
    • Review important requirements to receive benefits.

Bronze Metal Plans are based strictly on the share of healthcare costs ?

Consider a Bronze plan if:

- You want lower monthly premiums compared to Gold and Silver plans
- You have few prescription needs
- You use healthcare services rarely

WE OFFER TWO BRONZE PLANS.
$ = Financial Assistance Available

  • Blue Saver Bronze $

    • Calendar Year Deductible:
      $7,150 Individual / $14,300 Family
    • Out-of-Pocket Maximum:
      $7,150 Individual / $14,300 Family
    • Primary Care and Specialist Office Visit:
      First 2 illness-related visits: $40 copay. Thereafter: you pay 0% after you meet the calendar year deductible
  • Blue HSA Bronze $

    • Calendar Year Deductible:
      $6,450 Self-only / $12,900 Family
    • Out-of-Pocket Maximum:
      $6,450 Self-only / $12,900 Family
    • Primary Care and Specialist Office Visit:
      You pay 0% after meeting the calendar year deductible

Peace of Mind for Those Under 30 or A Hardship Exemption ?

Our catastrophic plan is only available through the health insurance marketplace on Healthcare.gov

Consider a catastrophic plan if:

- You are under 30 years old
- You qualify for a hardship exemption

  • Blue Protect

    • Calendar Year Deductible:
      $7,350 Individual / $14,700 Family
    • Out-of-Pocket Maximum:
      $7,350 Individual / $14,700 Family. (Once you reach the maximum, you will pay nothing for eligible, in-network expenses for the rest of the year.)
    • Primary Care Office Visit:
      First three illness-related visits: $50 copay; thereafter $0 after you meet the calendar year deductible.
    • Specialist Office Visit:
      $0 after you meet the calendar year deductible.
Additional Coverage Options for Individuals and Families

Enroll at Any Time! Low Deductible Plans with 1700+ Providers Statewide

Our Dental plans are designed to deliver care at an affordable price with no waiting period for Diagnostic and Preventive Services.

Consider a Dental plan if:

- Your employer does not offer Dental coverage
- You need Dental coverage for yourself or your family

WE OFFER THREE DENTAL PLANS:

  • Dental Blue®

    Our standard plan covers basic benefits such as regular dental exams, x-rays and cleanings.

    • Calendar Year Deductible:
      $50 per person
    • Calendar Year Maximum Benefit:
      $1,000 per person. This is the most we will pay each year
    • Dental exams, x-rays & routine cleanings- no waiting periods:
      You pay $0; no waiting periods
  • Dental Blue® Select

    Our premium plan includes the same benefits of Dental Blue as well as coverage for crowns, orthodontic services and dentures.

    • Calendar Year Deductible:
      $50 per person
    • Calendar Year Maximum Benefit:
      $1,500 per person. This is the most we will pay each year
    • Dental exams, x-rays & routine cleanings- no waiting periods:
      You pay $0; no waiting periods
  • Dental Blue® Plus

    Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. This plan is only available through the health insurance marketplace on Healthcare.gov

    • Calendar Year Deductible:
      $40 per person
    • Calendar Year Maximum Benefit:
      $1,000 per person (age 19 and over). No maximum for children up to age 19 for in-network services
    • Pediatric Out-of-Pocket Year Maximum:
      $350 per child up to age 19 for in-network services
      $700 for two or more children up to age 19 for in-network services
    • Dental exams, x-rays & routine cleanings- no waiting periods:
      You pay $0; no waiting periods

Some Dental services require a waiting period. Review plan benefits carefully.

Enroll at Any Time! Our VSP Plans Offer the Best Value, Best Care and Best Choices

Consider a Vision plan if:

Your employer does not offer Vision coverage
- You need Vision coverage for yourself or your family

  • Check Out Our Vision Plan Options

    We have partnered with VSP Vision Care, consumers’ number #1 choice in vision care, to provide individuals and families with the coverage they need. Children under age 19 may already be covered, as pediatric vision benefits are provided in some medical health insurance plans. More Vision Insurance details.

Our International Travel Health Plans Cover Both Short Term and Long Term Travel

Consider a Travel plan if:

- You are an individual planning short or long-term international travel
- You are a family or group of people planning short or long-term international travel

GeoBlue offers customizable plans perfect for:

- Business and leisure travelers
- Students
- Expatriates
- Missionaries
- Mariners
- Groups

FIND OUT WHEN YOU CAN APPLY FOR HEALTH INSURANCE: