Small Business Plan Portfolio
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- Linette Hudson
- 5 years ago
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1 2018 Small Business Plan Portfolio
2 2018 Small Business Plan Pairing Options Most Small Group plans can be combined, please see restrictions below. This allows you to offer your employees up to three plans to choose from. BlueCHiP Advance plans can be paired with one other plan as noted. However, they cannot be combined with a health reimbursement account (HRA). BlueCHiP Advance $0/$1,500 can be paired with: VantageBlue 100/80 $2,000/$4,000 BlueSolutions 100/60 $1,500/$3,000 BlueSolutions 100/60 $1,500/$3,000 +co-pay BlueSolutions 100/60 $1,900/$3,800 BasicBlue 100/Not Covered $2,750/$5,500 Blue Choice New England 100/80 $2,000/$4,000 Blue Choice New England 100/80 $3,000/$6,000 Network Blue New England 100/Not Covered $2,000/$4,000 Network Blue New England 100/Not Covered $3,000/$6,000 BlueCHiP Advance $500/$2,000 and BlueCHiP Advance $1,000/$2,000 can be paired with: VantageBlue 100/80 $3,000/$6,000 VantageBlue 80/60 $3,000/$6,000 VantageBlue 70/50 $2,000/$4,000 Blue Choice New England 100/80 $3,000/$6,000 Network Blue New England 100/ Not Covered $3,000/$6,000 BasicBlue 100/Not Covered $2,750/$5,500 BlueSolutions 100/60 $1,500/$3,000 BlueSolutions 100/60 $1,900/$3,800 These plans can be paired together but not with any other plans: BlueSolutions 100/60 $5,000/$10,000 BlueSolutions 100/60 $6,000/$12,000 BlueSolutions 100/60 $6,550/$13,100 BasicBlue 100/Not Covered $7,150/ $14,
3 BlueCHiP Product Family Network Blue New England Network Blue New England Network Blue New England Blue Choice Blue Choice Blue Choice BlueCHiP Advance * BlueCHiP Advance * BlueCHiP Advance * Coinsurance 100/Not Covered 100/Not Covered 100/Not Covered 100/80 100/80 100/80 Copay Plan Copay Plan Copay Plan In-Network Deductible $1,000/$2,000 $2,000/$4,000 $3,000/$6,000 $1,000/$2,000 $2,000/$4,000 $3,000/$6,000 Tier 1: $0/$0 Tier 2: $1,500/$3,000 Tier 1: $500/$1,000 Tier 2: $2,000/$4,000 Tier 1: $1,000/$2,000 Tier 2: $2,000/$4,000 In-Network Out-of-Pocket Max Out-of-Network Deductible Out-of-Network Out-of-Pocket $3,000/$6,000 $6,000/$12,000 $6,500/$13,000 $3,000/$6,000 $6,000/$12,000 $7,150/$14,300 $4,750/$9,500 $6,800/$13,600 $6,800/$13,600 Not Covered Not Covered Not Covered $2,000/$4,000 $4,000/$8,000 $6,000/$12,000 $6,600/$13,200 $6,600/$13,200 $6,600/$13,200 Not Covered Not Covered Not Covered $6,000/$12,000 $12,000/$24,000 $14,300/$28,600 $14,250/$28,500 $20,400/$40,800 $20,400/$40,800 PCMH / Non PCMH $20/$20 $25/$25 $25/$25 $20/$20 $25/$25 $25/$25 T2: $40 Specialist $30 $40 $40 $30 $40 $40 Retail Clinic $20 $25 $25 $20 $25 $25 T2: $40 Urgent Care / Emergency Room $75/$150 $100/$200 $100/$200 $75/$150 $100/$200 $100/$200 $50/$150 $75/$150 $75/$150 Inpatient 0% 0% 0% 0% 0% 0% T2: $800 T1: $500 High End Radiology 0% 0% 0% 0% 0% 0% T1:$0 T2: $200 T1: $0 T2: $ PT / OT / ST 20% 20% 20% 20% 20% 20% Lab / X-ray $20/$50 $25/$75 $25/$75 $20/$50 $25/$75 $25/$75 T1:$30 T1: $0/$0 T1: $0/$0 T1: $0/$0 T2: $0/$0 T2: $25/$75 T2: $25/$75 Outpatient Surgery 0% 0% 0% 0% 0% 0% T2: $800 Pharmacy $10/25/35/60/100 $10/30/50/75/125 $10/30/50/75/125 $10/25/35/60/100 $10/30/50/75/125 $10/30/50/75/125 $10/30/50/75/125 $10/30/50/75/125 $10/30/50/75/125 This is a summary of benefits. It is not a contract. For details about each plan including any limitations or exclusions not noted here, please refer to the subscriber agreement. * These plans have pairing requirements and restrictions. Please contact your broker or Blue Cross account executive for details. 4 5
4 BlueSolutions Product Family BlueSolutions BlueSolutions BlueSolutions BlueSolutions BlueSolutions BlueSolutions BlueSolutions BlueSolutions BlueSolutions Coinsurance 100/60 100/60 + Copay 100/60 100/60 100/60 100/60 100/60 100/60 100/60 In-Network Deductible In-Network Out-of-Pocket Max Out-of-Network Deductible Out-of-Network Out-of-Pocket $1,500/$3,000 $1,500/$3,000 $1,900/$3,800 $2,650/$5,300 $3,000/$6,000 $4,000/$8,000 $5,000/$10,000 $6,000/$12,000 $6,550/$13,100 $4,500/$9,000 $3,000/$6,000 $2,600/$5,200 $6,550/$13,100 $6,350/$12,700 $5,550/$11,100 $6,550/$13,100 $6,550/$13,100 $6,550/$13,100 $3,000/$6,000 $3,000/$6,000 $3,800/$7,600 $5,300/$10,600 $6,000/$12,000 $8,000/$16,000 $10,000/$20,000 $12,000/$24,000 $13,100/$26,200 $13,500/$27,000 $9,000/$18,000 $7,800/$15,600 $19,650/$39,300 $19,050/$38,100 $16,650/$33,300 $19,650/$39,300 $19,650/$39,300 $19,650/$39,300 PCMH / Non PCMH 0% $5/$15 0% 0% 0% 0% 0% 0% 0% Specialist 0% $20 0% 0% 0% 0% 0% 0% 0% Retail Clinic 0% $20 0% 0% 0% 0% 0% 0% 0% Urgent Care / Emergency Room 0% $100/$200 0% 0% 0% 0% 0% 0% 0% Inpatient 0% 0% 0% 0% 0% 0% 0% 0% 0% High End Radiology 0% 0% 0% 0% 0% 0% 0% 0% 0% PT / OT / ST 0% $20 0% 0% 0% 0% 0% 0% 0% Lab / X-ray 0% 0% 0% 0% 0% 0% 0% 0% 0% Outpatient Surgery 0% 0% 0% 0% 0% 0% 0% 0% 0% Pharmacy $10/30/50/75/125 $10/30/50/75/125 $10/30/50/75/125 $10/40/70/90/125 $10/40/70/90/125 $10/40/70/90/125 $10/50/75/95/150 $10/50/75/95/150 $0/0/0/0/0 This is a summary of benefits. It is not a contract. For details about each plan including any limitations or exclusions not noted here, please refer to the subscriber agreement. * These plans have pairing requirements and restrictions. Please contact your broker or Blue Cross account executive for details. 6 7
5 VantageBlue Product Family VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue VantageBlue Coinsurance 100/80 100/80 100/80 100/80 100/80 100/80 100/80 100/60 80/60 80/60 80/60 70/50 In-Network Deductible In-Network Out-of-Pocket Max Out-of-Network Deductible Out-of-Network Out-of-Pocket $500/$1,000 $750/$1,500 $1,000/$2,000 $2,000/$4,000 $2,500/$5,000 $3,000/$6,000 $4,000/$8,000 $1,500/$3,000 $1,000/$2,000 $2,000/$4,000 $3,000/$6,000 $2,000/$4,000 $1,500/$3,000 $1,700/$3,400 $4,000/$8,000 $3,600/$7,200 $6,000/$12,000 $6,500/$13,000 $6,350/$12,700 $4,500/$9,000 $4,000/$8,000 $5,000/$10,000 $5,800/$11,600 $6,150/$12,300 $2,000/$4,000 $3,000/$6,000 $2,000/$4,000 $4,000/$8,000 $5,000/$10,000 $6,000/$12,000 $8,000/$16,000 $3,000/$6,000 $2,000/$4,000 $4,000/$8,000 $6,000/$12,000 $4,000/$8,000 $6,000/$12,000 $6,800/$13,600 $12,000/$24,000 $10,800/$21,600 $18,000/$36,0000 $19,500/$39,000 $19,050/$38,100 $13,500/$27,000 $12,000/$24,000 $15,000/$30,000 $17,400/$34,800 $18,450/$36,900 PCMH / Non PCMH (1st sick visit free) Specialist $30 $30 $30 $40 $40 $40 $40 $30 $50 $50 $50 $50 Retail Clinic $20 $20 $20 $30 $30 $30 $30 $20 $40 $40 $40 $40 Urgent Care / Emergency Room $50/$100 $50/$100 $50/$100 $100/$200 $100/$200 $100/$200 $100/$200 $50/$100 $125/$250 $125/$250 $125/$250 $125/$250 Inpatient 0% 0% 0% 0% 0% 0% 0% 0% 20% 20% 20% 30% High End Radiology 0% 0% 0% 0% 0% 0% 0% 0% 20% 20% 20% 30% PT / OT / ST 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 30% Lab / X-ray $0/$0 $0/$0 $0/$0 $25/$75 $25/$75 $25/$75 $25/$75 $0/$0 $25/$75 $25/$75 $25/$75 $25/$75 Outpatient Surgery 0% 0% 0% 0% 0% 0% 0% 0% 20% 20% 20% 30% Pharmacy $10/25/35/60/100 $10/25/35/60/100 $10/25/35/60/100 $10/40/70/90/125 $10/40/70/90/125 $10/40/70/90/125 $10/40/70/90/125 $10/25/35/60/100 $10/40/70/90/125 $10/40/70/90/125 $10/40/70/90/125 $10/40/70/90/125 This is a summary of benefits. It is not a contract. For details about each plan including any limitations or exclusions not noted here, please refer to the subscriber agreement. 8 9
6 BasicBlue Product Family BasicBlue BasicBlue BasicBlue Coinsurance 100/Not Covered 100/Not Covered 100/Not Covered In-Network Deductible In-Network Out-of-Pocket Max Out-of-Network Deductible Out-of-Network Out-of-Pocket $2,750/$5,500 $5,000/$10,000 $7,150/$14,300 $2,750/$5,500 $5,000/$10,000 $7,150/$14,300 Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered PCMH / Non PCMH $15/$25 $50/$70 Specialist $30 $45 $85 Retail Clinic $30 $45 $50 Urgent Care / Emergency Room 0% 0% 0% Inpatient 0% 0% 0% High End Radiology 0% 0% 0% PT / OT / ST 0% 0% 0% Lab / X-ray 0% 0% 0% Outpatient Surgery 0% 0% 0% Pharmacy $10/30/ 0/0/0 $10/40/ 0/0/0 $10/50/ 0/0/0 This is a summary of benefits. It is not a contract. For details about each plan including any limitations or exclusions not noted here, please refer to the subscriber agreement.
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BlueOptions No.
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BlueSelect 1443B. No.
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BlueCare 1490B Coverage Period: 01/01/2014-12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and/or Family Plan Type: HMO This is only a summary.
Anthem Blue Cross Your Plan: Custom Classic PPO 500/20/20 (RX $5/$10/$25/30%) Your Network: Prudent Buyer PPO
Anthem Blue Cross Your Plan: Custom Classic PPO 500/20/20 (RX $5/$10/$25/30%) Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://eoc.anthem.com/eocdps/fi or by calling 1-800-542-9402.
Anthem Blue Cross Your Plan: Modified Premier HMO 15/100% (Essential formulary $5/$15/$25/$45/30%) Your Network: California Care HMO
Anthem Blue Cross Your Plan: Modified Premier HMO 15/100% (Essential formulary $5/$15/$25/$45/30%) Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to
Cost if you use a Non-Network Provider. Cost if you use an In-Network Provider. Covered Medical Benefits
Anthem Blue Cross California State University Risk Management Authority Your Plan: Custom Premier HMO 20/200 admit/100 OP (Custom Rx $5/$20/$60/20%) Your Network: California Care HMO This summary of benefits
Looking Upwards Value PPO Coverage Period: 04/01/ /31/2017
Important Questions What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling
BlueOptions 1418V. No.
BlueOptions 1418V Coverage Period: 01/01/2014-12/31/2014 Everyday Health Premier Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and/or Family Plan Type:
Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP Your Network: Select HMO
Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP Your Network: Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This
BlueCare 1477C. No. No. Yes. For a list of participating providers, see or call
BlueCare 1477C Coverage Period: 01/01/2014-12/31/2014 Everyday Health Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and/or Family Plan Type: HMO This
Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP ($5/$15/$30/$50/30%) Your Network: California Care HMO
Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP ($5/$15/$30/$50/30%) Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with
Anthem Blue Cross Your Plan: Custom Value Deductible HMO $100 30/40/10% Your Network: Select HMO
Anthem Blue Cross Your Plan: Custom Value Deductible HMO $100 30/40/10% Your : Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This
Your Plan: BCBSHP Preferred DirectAccess Plus groayour Network: Blue Open Access POS 10PK G-OAP2F 500/20 5K
Your Plan: BCBSHP Preferred DirectAccess Plus groayour Network: Blue Open Access POS 10PK G-OAP2F 500/20 5K This summary of benefits is a brief outline of coverage, designed to help you with the selection
Anthem Blue Cross Effective: January 1, 2018 Your Plan: University of California UC Care Plan Your Network: UC Select and Anthem Preferred
Anthem Blue Cross Effective: January 1, 2018 Your Plan: University of California UC Care Plan Your Network: UC Select and Anthem Preferred This summary of benefits is a brief outline of coverage, designed
Anthem Blue Cross Your Plan: Custom Classic HMO 20/250 Admit (Rx $15/$30/$45/$45) Your Network: Select HMO
Anthem Blue Cross Your Plan: Custom Classic HMO 20/250 Admit (Rx $15/$30/$45/$45) Your Network: Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection
Anthem Blue Cross Your Plan: Premier HMO 20/200 admit/100 OP (Essential Formulary $10/$25/$45/30%) Your Network: California Care HMO
Anthem Blue Cross Your Plan: Premier HMO 20/200 admit/100 OP (Essential Formulary $10/$25/$45/30%) Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to
Anthem Blue Cross Your Plan: Modified Value HMO 30/40/30% Your Network: California Care HMO
Anthem Blue Cross Your Plan: Modified Value HMO 30/40/30% Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This
Your Plan: Anthem Silver Blue Access PPO 2000/50%/6350 Your Network: Blue Access
Your Plan: Anthem Silver Blue Access PPO 2000/50%/6350 Your Network: Blue Access This summary of benefits is a brief outline of coverage, designed to help y ou with the selection process. This summary
Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/ /31/2017
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-241-5704. Important
Anthem Blue Cross Your Plan: Anthem Elements Choice HMO 1500 (Essential Formulary $5/$20/$50/$65/30% $500 Deductible) Your Network: Select HMO
Anthem Blue Cross Your Plan: Anthem Elements Choice HMO 1500 (Essential Formulary $5/$20/$50/$65/30% $500 Deductible) Your Network: Select HMO This summary of benefits is a brief outline of coverage, designed
Anthem Blue Cross of California Your Plan: Anthem Gold Select HMO 500/20%/6500 Your Network: Select HMO
Anthem Blue Cross of California Your Plan: Anthem Gold Select HMO 500/20%/6500 Your Network: Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection
Your Plan: Anthem Preferred DirectAccess gpaf Your Network: BlueCare
Your Plan: Anthem Preferred DirectAccess gpaf Your Network: BlueCare This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not reflect
Volusia County School Board Medical Insurance Strategy 2016 and Beyond. November 10, 2015
Volusia County School Board Medical Insurance Strategy 2016 and Beyond November 10, 2015 Table of Contents Current Plans Summary Experience Reducing and Managing Health Care Spending 2016/17 Renewal Options
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-855-333-5730. Important
BlueCare S1450. In-Network: $2,000 Per Person/$4,000 Family. Out-Of-Network: Not Applicable Does not apply to In-Network preventive care.
BlueCare S1450 Coverage Period: 01/01/2015-12/31/2015 Essential Health Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and/or Family Plan Type: HMO This
Anthem Blue Cross Your Plan: Classic PPO 1000/35/20 (Essential Formulary $5/$20/$30/$50/30%) Your Network: Prudent Buyer PPO
Anthem Blue Cross Your Plan: Classic PPO 1000/35/20 (Essential Formulary $5/$20/$30/$50/30%) Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you
Anthem Blue Cross Your Plan: Custom Premier HMO 25/100% (Custom $5/$20/$30/$50/30%) Your Network: Select HMO
Anthem Blue Cross Your Plan: Custom Premier HMO 25/100% (Custom $5/$20/$30/$50/30%) Your Network: Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection
Important Questions Answers Why this Matters:
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services? Is there an out of pocket limit on my expenses? $1,500 single / $3,000 family
Health Plan Update Open Enrollment 2017
Health Plan Update Open Enrollment 2017 Health Plan Update Health Plan rates will increase by 5.7% overall effective October 1, 2017 True increase is closer to 11% Subsidy of $1.6 million voted by Plan
Anthem Blue Cross of California Your Plan: Anthem Gold HMO 40/20%/6500 Your Network: California Care HMO
Anthem Blue Cross of California Your Plan: Anthem Gold HMO 40/20%/6500 Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-855-333-5730. Important
Western Kentucky University Anthem BlueCross BlueShield Basic PPO Plan Coverage Period: 01/01/ /31/2018 Summary of Benefits and Coverage:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://eoc.anthem.com/eocdps/aso or by calling 1-888-650-4047.
$0 family AvMed In-Network Tier B Providers: $0 individual / What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.avmed.org or by calling 1-800-376-6651. Important Questions
What is the overall deductible? Are there other deductibles for specific services?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.avmed.org or by calling 1-800-376-6651. Important Questions
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://eoc.anthem.com/eocdps/fi or by calling (855) 333-5735.
Medical Plan Options - Retirees Age 65 or Over/ Disabled Participants with Medicare Coverage
l Plan Options - Retirees Age 65 or Over/ Disabled Participants with re Program Name Group Prime Solution Group Prime Solution for Seniors for Seniors Type of Policy re Cost Plan with re Prescription Drug
$3,500 individual / $7,000 family. Does not apply to office visits, generic drugs and preventative services.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.mdwise.org/marketplace or by calling 1-855-417-5615 Important
What is the overall deductible? are separate and do not. towards each other. Are there other deductibles for specific services?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://eoc.anthem.com/eocdps/fi or by calling (855) 333-5735.