Popular Single Plan Options

Popular Single Plan Options

There are many variables to consider when choosing coverage for your employees. Put together a PPO health plan that is right for you and your employees – based on one set of benefits at one single price point.

Benefit Available Options Most Common Options
Office Visit Copay


 $10
$15
$20
$25
$30
$35

 $20
$15
$10
$25
Deductible $100
$250
$500
$1,000
$1,500
$2,500
$5,000		 $500
$1,000
$1,500
$2,000
Prescription Drugs

Drug Cards:
$10/50%
$10/$35
$10/$35/$50
$10/$20/$35
$0/20%/50%
30%

Drugs subject to medical deductible/coinsurance.
Discount Program – available to groups with no drug coverage.
$10/$20/$35
$10/$35
$10/$35/$50
Out-of-pocket maximum $1,000
$1,500
$2,000
$2,500
$4,000
$5,000
$6,000
$8,000		 $1,500
$2,000
$2,500
$5,000
Mental Health Benefits 20 Inpatient days/25 outpatient visits
30 Inpatient days/30 outpatient visits		 20/25, 30/30
ER services $100 copay
Deductible and coinsurance		 $100 copay
Deductible and coinsurance
Well Care rider Expands services to include adult physicals Most groups choose
Dental plan 100/100/80/50 – 80/80/0/0 100/80/50/0, 100/80/50/50
Vision Exam only
Exam plus hardware		 Exam only

Our most popular plan options feature a great combination of benefits at reasonable rates. The chart below features our most popular plan options.

Sample Plan Cost Spectrum PDF [0.05MB]

For more information about BlueCross BlueShield of Tennessee health plans, contact your broker or call us at 1-800-565-9140.

Additional Information

Page Modified:February 13, 2008