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Plan Benefits

Great benefits and extras you’ll love

No matter which Marketplace plan you choose, you’ll get:

  • Free virtual care coverage
  • Mental health coverage
  • Care support from health navigators
  • Prescription coverage
  • Discounted gym memberships
  • Free diabetes support and supplies for those who qualify

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Free virtual care coverage

Teladoc Health® primary care services are available for members 13 and older by phone/video chat

Free support for diabetes

Including diabetes-specific medications, preventive care and testing, and no-cost test supplies. Learn more here

Mental health coverage

Including in-person and telehealth providers and online programs. Teladoc Health mental health therapists are available for members 13 and older

Free preventive benefits

Including checkups, vaccinations, mammograms and more

Free dental and vision coverage for kids

Through age 19

Gift card rewards

Up to $200 per year for certain health screenings and other wellness activities

All of these benefits are included in every BlueCross Marketplace Plan. Start shopping now.

We're here to help

Questions about what's new with Marketplace plans for 2026? Call us at 1-888-286-0810.Call us at 1-888-286-0810. Or if you already have a bcbst.com account, click here to chat with us.

We offer three levels of plans

Whether you'd rather pay less each month or prefer having more control of your overall costs, it helps to think about how you and your insurance will split expenses when looking for Marketplace insurance.
Let's get started and find the plan that's right for you.

How do I know if I'm eligible for a Marketplace subsidy?

Call us or your broker or go to bcbst.com/softheon to see if you qualify, and if so, for how much.

If you already have one of our Marketplace plans, make sure you re getting the largest subsidy you qualify for by updating your financial information at HealthCare.gov.

What are the out-of-pocket costs for each plan?

Out-of-pocket costs are the expenses for your health care that your insurance doesn't cover. This can include things like deductibles, coinsurance, copayments and other services.

See the out-of-pocket costs for each of our plan levels.

Plan level Through the
Marketplace
Through
BlueCross
Deductible Member
Coinsurance
Out-of-Pocket Maximum Works
with HSA?
Individual Family Individual Family
Bronze B07   check mark $6,450 $12,900 50% $7,600 $15,200 check mark
Bronze B15 check mark check mark $10,600 $21,200 0% $10,600 $21,200 check mark
Bronze B16 check mark check mark $7,500 $15,000 50% $10,000 $20,000 check mark
Bronze B17 check mark check mark $10,600 $21,200 0% $10,600 $21,200 check mark
Bronze B19 check mark check mark $0 $0 50% $10,600 $21,200 check mark
Bronze B20   check mark $7,400 $14,800 0% $7,400 $14,800 check mark
Silver S20 This plan is only available through bcbst.com. For plan S20, affordable copays on drugs even before you meet your deductible - from $20 on generics, up to $100 on brand drugs. This means that you don't have to meet your deductible before we help you pay for these drugs. Check our preventive drug list to make sure the daily medications you take are on it.   check mark $3,650 $7,300 50% $7,750 $15,500  
Silver S26 check mark check mark $6,000 $12,000 40% $8,900 $17,800  
Silver S27 check mark check mark $5,900 $11,800 50% $6,900 $13,800  
Silver S29 check mark check mark $5,900 $11,800 50% $6,900 $13,800  
Silver S34 check mark check mark $8,100 $16,200 0% $8,100 $16,200  
Silver S35   check mark $6,350 $12,700 20% $9,200 $18,400  
Gold G08 check mark check mark $2,000 $4,000 25% $8,200 $16,400  

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What are the prescription costs for each plan?

Here's how the prescription costs break down based upon your plan level.

Plan level Copay and Coinsurance Ranges
Generics Preferred Brand Drugs Non-Preferred Brand Drugs
Bronze B07 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Bronze B15 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Bronze B16 $25 Rx Copay $50 Rx Copay
After Deductible
$100 Rx Copay
After Deductible
Bronze B17 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Bronze B19 $35 Rx Copay $195 Rx Copay $250 Rx Copay
Bronze B20 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Silver S20 This plan is only available through bcbst.com. For plan S20, affordable copays on drugs even before you meet your deductible - from $20 on generics, up to $100 on brand drugs. This means that you don't have to meet your deductible before we help you pay for these drugs. Check our preventive drug list to make sure the daily medications you take are on it. Deductible/Coinsurance
$20 Preventive Rx Copay
Deductible/Coinsurance
$50 Preventive Rx Copay
Deductible/Coinsurance
$100 Preventive Rx Copay
Silver S26 $20 Rx Copay $40 Rx Copay $80 Rx Copay
After Deductible
Silver S27 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Silver S29 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Silver S34 $10 Rx Copay Deductible/Coinsurance Deductible/Coinsurance
Silver S35 $10 Rx Copay $75 Rx Copay $150 Rx Copay
Gold G08 $15 Rx Copay $30 Rx Copay $60 Rx Copay

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What does "deductible/coinsurance" mean?

Deductible: The amount you pay each year before your health plan begins paying.

Coinsurance: The percentage of costs for care that you'll pay - usually after you've paid your deductible.

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READY TO SHOP FOR A PLAN?

Plans with financial help

Many people can get help paying for their plan from the federal government. See if you're eligible for financial help when buying one of our Marketplace plans.

  • Many people qualify for individual and family plans with financial help
  • Some qualify for plans with a $0 monthly premium
  • Even if you don’t qualify for help, you can still shop plans.

Call 1-888-286-0810 to get started, or click/tap the button below.

Call 1-888-286-0810 to get started, or click/tap the button below.

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Plans without financial help

Even if you don't qualify for financial help on a plan, you can still sign up directly with us. Let us help find the right plan for you.

Several of the plans listed above are available on the Health Insurance Marketplace. Here's information that may be helpful as you shop for the right plan for you.

Transparency in Coverage