Health & Dental Plans > 2-50 Employees

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Health Plans for 2-50 Employees

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Blue Choice Platinum
for Business




Blue Access® Gold
for Business




Blue HSA Gold
for Business




Blue Secure Silver
for Business




Blue Saver® Bronze
for Business


Overview

If you prefer to pay less for inpatient hospital stays and physician visits, Blue Choice Platinum ...| More for Business may be the plan for you. Blue Choice Platinum for Business provides you with broad access to doctors, hospitals and pharmacies through our PPO network you know and trust. Less

Blue Access Gold for Business is similar in benefit design to our most popular plan from... | More years past. It is a smart choice because it offers a reasonable deductible and copays to help you budget for life's unexpected events.Less

If you're looking for a plan that has tax advantages and the flexibility to decide for... | More yourself how you spend your healthcare dollars, Blue HSA Gold for Business may be the plan for you. With Blue HSA Gold for Business, you'll get the protection and coverage of the Blue Cross and Blue Shield of Alabama network and the ability to create a tax-deferred savings account that earns interest and allows you to roll over any money in your account that you don't use from year to year.Less

If you're interested in a lower monthly premium, Blue Secure Silver for Business offers ... | More value, security and flexibility. Since it is a PPO plan you can enjoy set copays for office visits, hospital stays and prescription drugs. Less

This High Deductible Health Plan (HDHP) is great choice for those who don't use a lot of health... | More care services, but want peace of mind for when they do. Blue Saver Bronze for Business offers up-front coverage for some essential services and still gives you access to broad provider networks. Less

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Dental

With two plans to choose from, Essential Dental and Premier Dental plans will provide you with coverage options sure to fit your needs. Both plans cover Diagnostic and Preventive Services at 100% with NO deductible or waiting period. These plans offer minimal participation requirements, flexible employer contribution, and annual open enrollment.

For more information and a comparison of our Essential Dental and Premier Dental plans for business click here.

Office Visit Copay

$20

$35 Primary Care/
$50 Specialist

Plan pays 90%
after Deductible

$40 Primary Care/
$60 Specialist

$40 copay for 1st three illness related office visits; plan pays 60% after Deductible

Calendar Year Deductible

SELF - ONLY

FAMILY



$100

$200



$500

$1,000



$1,500

$3,000

For self-only coverage, no benefits, except preventive care, are paid by the plan until medical expenses paid by the individual equal the deductible amount. For family coverage, no benefits, except preventive care, are paid by the plan to any family member until the total medical expenses paid by the family equal the family deductible amount.


$2,000

$4,000



$4,200

$8,400

Prescription Drugs

GENERIC

PREFERRED

OTHER BRAND

SPECIALTY


$10 copay

$30 copay

$60 copay

$60 copay


$15 copay

$40 copay

$60 copay

$100 copay


Plan pays 90%
after Deductible


$20 copay

$60 copay

$100 copay

lesser of 50% of allowed amount or $395


$20 copay


Plan pays 60%
after Deductible

Plan pays 60%
after Deductible

lesser of 60% of allowed amount or $500
Mail Order Pharmacy
(90 day supply)

GENERIC

PREFERRED

OTHER BRAND

SPECIALTY



$25 copay

$75 copay

$150 copay

not covered



$37.50 copay

$100 copay

$150 copay

not covered



n/a



$50 copay

$150 copay

$250 copay

not covered



n/a

Inpatient
(Days 1-5)

Plan pays 100% after $150 daily copay
days 1 - 5 for each admission

Tier 1
Plan pays 100% after $200 daily copay days 1 - 5 for each admission
Tier 2 & 3
Plan pays 100% after $400 daily copay days 1 - 5 for each admission

Plan pays 90%
after Deductible

Tier 1
Plan pays 100% after $300 daily copay days 1 - 5 for each admission
Tier 2 & 3
Plan pays 100% after $600 daily copay days 1 - 5 for each admission

Plan pays 60%
after Deductible

Outpatient

Plan pays 100% after $150 hospital copay

Tier 1
Plan pays 100% after $200 hospital copay
Tier 2 & 3
Plan pays 100% after $400 hospital copay

Plan pays 90%
after Deductible

Tier 1
Plan pays 100% after $300 hospital copay
Tier 2 & 3
Plan pays 100% after $600 hospital copay

Plan pays 60%
after Deductible

ER Visit

Plan pays 100% after $150 hospital copay

Plan pays 100% after $200 hospital copay

Plan pays 90%
after Deductible

Plan pays 100% after $300 hospital copay

Plan pays 60%
after Deductible

Out-of-Pocket

SELF - ONLY

FAMILY

Includes deductible, copays, and coinsurance for
in-network services.

$4,000

$8,000


$5,000

$10,000


$3,000

$6,000


$6,350

$12,700


$6,350

$12,700

Participating Pharmacy Network

x

x

x

Limited Retail Pharmacy Network

x

x

Standard Formulary

x

x

x

PrimeChoice® Essential Formulary

x

x

Select Lab Network
(click for description)

x

Smoking Cessation

x

x

x

x

Pediatric Vision

Plan pays at 80%
after Deductible

Plan pays at 80%
after Deductible

Plan pays at 90%
after Deductible

Plan pays at 80%
after Deductible

Plan pays at 60%
after Deductible

Pediatric Dental
(members up to
age 19)

DIAGNOSTIC & PREVENTIVE

BASIC SERVICES

MAJOR SERVICES

DENTALLY NECESSARY ORTHODONTIA

No benefits are available until the member has been covered under the plan for a continuous 24-month waiting period.



Plan pays at 100%

Plan pays 80%
after Deductible

Plan pays 50%
after Deductible

Plan pays 50%
after Deductible




Plan pays at 100%

Plan pays 80%
after Deductible

Plan pays 50%
after Deductible

Plan pays 50%
after Deductible



Plan pays 100%
after Deductible

Plan pays 80%
after Deductible

Plan pays 50%
after Deductible

Plan pays 50%
after Deductible




Plan pays at 100%

Plan pays 80%
after Deductible

Plan pays 50%
after Deductible

Plan pays 50%
after Deductible




Plan pays at 100%

Plan pays 80%
after Deductible

Plan pays 50%
after Deductible

Plan pays 50%
after Deductible