Value Plans

Coverage you can count on even if you rarely need it.

Overview

  • Budget-friendly plans.
  • Premiums may be lower.
  • A higher deductible plan.

Good option if...

you rarely get health care services and don’t mind paying the deductible when you do need care.

At-A-Glance

Silver Plan Bronze Plan
HSA Eligible

Learn More

No No
Participant deductible $3,500 $6,500
Family deductible $7,000 $13,000
Participant out-of-pocket $8,550 $8,550
Family out-of-pocket $17,100 $17,100
Coinsurance

BCBSWY Pays

Participant Pays

 

80%

20%

 

50%

50%

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

Copay

 

$40

 

Subject to the deductible & coinsurance


Prescription Drugs
Tier 1: Generic Drugs

Tier 2: Preferred Brand drugs

 

$5 copay

$50 copay

 

$20 copay

$150 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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