SimplyBlue health plans offer a lower-cost, basic level of coverage that provides financial protection against an unexpected injury or illness.

SimplyBlue plans feature:

• Basic Medical Coverage Subject to Deductible(and coinsurance if applicable) Including:
  • Well child care.
  • Adult preventive screenings.
  • Care received at a physician's office, hospital or outpatient facility.
  • Emergency care.
• One Deductible and Out-of-Pocket Maximum for Family Coverage - the full family deductible or out-of-pocket maximum must be met before benefits are paid on any family member's claim.
• Access to Blue Network S Providers

SimplyBluePlus plans offer enhanced coverage, including:

• $30 Copay for Office Visits - for medically necessary treatment and covered preventive services at a network physician’s office.
• $15 Copay for Generic Prescription Drugs- Limited to $125 per calendar quarter in RX03 pharmacy network only.
• Covered Wellness and Preventive Services for Adults and Children 6+ - subject to $30 copay and $300 annual payment limit.