Classic Plans

The traditional coverage you expect with comprehensive options.

Overview

  • Traditional, comprehensive plans with predictable costs.
  • Lower deductibles.
  • Up to two primary care office visits with only a low copay required.

Good option if...

you get frequent health care services or prescriptions and want BCBSWY to begin paying sooner.

At-A-Glance

Gold Plan Silver Plan
HSA Eligible

Learn More

No No
Participant deductible $750 $2,500
Family deductible $1,500 $5,000
Participant out-of-pocket $8,550 $8,550
Family out-of-pocket $17,100 $17,100
Coinsurance

BCBSWY Pays

Participant Pays

 

75%

25%

 

60%

40%

Preventive Care Paid at 100% of maximum allowable amount at appropriate intervals.
Primary Care

Copay
 

$30

 

$45

Prescription Drugs
Tier 1: Generic Drugs  $5 copay $5 copay
 Tier 2: Preferred Brand drugs $20 copay $50 copay
Summary of Benefits and Coverage (SBC)
View SBC

View SBC

At-a-Glance is intended to be a condensed overview of some plan benefits and does not cover all benefits or information contained in the Benefit Booklet.  Limitations and exclusions do exist.  At-a-Glance is not a contract.  For exact benefits and limitations, please request a copy of the Benefit Booklet.

Cost Assistance

Based on certain income requirements, you may qualify for assistance, through government subsidies, with your monthly premiums. 

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Rx Tools

Find important information on your prescriptions, including how to select a pharmacy, request prescription benefits, and more.

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