PremierBlue

PremierBlue

Perfect health benefits coverage if you're self-employed, recently divorced, taking early retirement or work for a company that doesn't offer health insurance.

Consider these four easy steps and choose the plan that's right for you.

Step 1: Choose a network.
PremierBlue plans enable you to maximize your benefits by choosing doctors, hospitals and other contracted providers from two comprehensive statewide provider networks: Blue Network P and Blue Network S. Please note that since there are fewer providers and facilities in Blue Network S, members in some areas may have to travel greater distances to receive in-network care. Before deciding which network option is best for you, please be sure your providers are in the network you choose by using the "Find A Doctor" tool.

Step 2: Choose a plan type.
Our most popular plans feature a $25 or $35 copay for Primary Care Physician (PCP) office visits, along with a deductible and coinsurance for most other types of services. Plus, you have a choice between two different prescription drug benefit plans and optional maternity and/or dental coverage.
Step 3: Choose your calendar year deductible.
The deductible is the amount you pay out of your pocket before the plan begins to pay benefits. We offer five deductible amounts, ranging from $500 - $5,000.
Step 4: Choose your coinsurance percentage.
The coinsurance percentage is the percentage of that the plan pays after you have met your calendar year deductible. We offer a standard 80 percent coinsurance on most plans.
Plan Copay Deductible Coinsurance Out-of-Pocket Max
Individual Family Plan Pays Individual Family
A31, A1
$25
$500
$1,500
80%
$3,500
$7,500
A32, A2
$25
$1,000
$3,000
80%
$4,000
$9,000
A34, A4
$25
$2,500
$7,500
80%
$5,500
$13,500
A42, A12
$35
$1,000
$3,000
80%
$4,000
$9,000
A44, A14
$35
$2,500
$7,500
80%
$5,500
$13,500
A48, A18
$35
$5,000
$15,000
100%
$5,000
$15,000
A52, A22
ded/coin
$1,000
$3,000
80%
$4,000
$9,000
A54, A24
ded/coin
$2,500
$7,500
80%
$5,500
$13,500
A55, A25
ded/coin
$2,500
$7,500
100%
$2,500
$7,500
A58, A28
ded/coin
$5,000
$15,000
100%
$5,000
$15,000

Each plan features the doctors, hospitals and other health care providers who participate in either of two comprehensive statewide networks: Blue Network P and Blue Network S. And, all plans include optional dental and maternity coverage for an additional fee.

Page Modified:February 16, 2009