Blue is now Bronze.

Special Enrollment

You can still enroll if you have a qualifying life event that gives you a Special Enrollment Period. You will be required to provide proper documentation before your coverage becomes effective. When you're ready to purchase your plan, you can:

Open Enrollment has ended. To enroll now, you must qualify for a Special Enrollment Period due to a Qualifying Life Event. We offer a variety of Blue Option Bronze plans for individuals and families. You'll find summaries of each plan by clicking on the plan names. While there are several different health plans for you to choose from, each Blue Option Bronze plan includes the same vision and dental benefits

Plan List

Bronze 5500

Plan BenefitsIn Network Only
Deductible (single/family)

$5,500/$11,000

Maximum Out Of Pocket (single/family)

$6,600/$13,200

Primary Care Physician Services

Deductible, then 50%

Maternity Care (prenatal and postnatal)

Deductible, then 50%

Specialist Visit

Deductible, then 50%

Inpatient Hospital Services

Deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Urgent Care

Deductible, then 50%

Emergency Room

Deductible, then 50%

Freestanding Ambulatory Surgical Center

$200 per visit

Ambulance

Deductible, then 50%

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (one per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: deductible, then 50% retail/deductible, then 50% mail order;
Tier 2: deductible, then 50% retail/deductible, then 50% mail order;
Tier 3: deductible, then 50% retail/deductible, then 50% mail order;
Tier 4: deductible, then 50% retail/deductible, then 50% mail order

Specialty Pharmaceuticals

Tier 5: deductible, then 50% retail/deductible, then 50% mail order;
Tier 6: deductible, then 50% retail/deductible, then 50% mail order

Durable Medical Equipment

Deductible, then 50%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 50%; 30 combined visits per benefit year

Transplants

A BlueChoice-participating facility must provide services and we will treat covered transplants the same as any other medical condition.

Bronze 6350HD

Plan BenefitsIn Network Only
Deductible (single/family)

$6,350/$12,700

Maximum Out Of Pocket (single/family)

$6,350/$12,700

Primary Care Physician Services

Deductible

Maternity Care (prenatal and postnatal)

Deductible

Specialist Visit

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Urgent Care

Deductible

Emergency Room

Deductible

Freestanding Ambulatory Surgical Center

Deductible

Ambulance

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (one per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: deductible retail/deductible mail order;
Tier 2: deductible retail/deductible mail order;
Tier 3: deductible retail/deductible mail order;
Tier 4: deductible retail/deductible mail order

Specialty Pharmaceuticals

Tier 5: deductible retail/deductible mail order;
Tier 6: deductible retail/deductible mail order

Durable Medical Equipment

Deductible

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 30 combined visits per benefit year

Transplants

A BlueChoice-participating facility must provide services and we will treat covered transplants the same as any other medical condition.

Bronze 6500

Plan BenefitsIn Network Only
Deductible (single/family)

$6,500/$13,000

Maximum Out Of Pocket (single/family)

$6,850/$13,700

Primary Care Physician Services

Deductible, then 50%

Maternity Care (prenatal and postnatal)

Deductible, then 50%

Specialist Visit

Deductible, then 50%

Inpatient Hospital Services

Deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Urgent Care

Deductible, then 50%

Emergency Room

$300, then deductible, then 50%

Freestanding Ambulatory Surgical Center

$200 per visit

Ambulance

Deductible, then 50%

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (one per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: deductible, then 50% retail/deductible, then 50% mail order;
Tier 2: deductible, then 50% retail/deductible, then 50% mail order;
Tier 3: deductible, then 50% retail/deductible, then 50% mail order;
Tier 4: deductible, then 50% retail/deductible, then 50% mail order

Specialty Pharmaceuticals

Tier 5: deductible, then 50% retail/deductible, then 50% mail order;
Tier 6: deductible, then 50% retail/deductible, then 50% mail order

Durable Medical Equipment

Deductible, then 50%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 50%; 30 combined visits per benefit year

Transplants

A BlueChoice-participating facility must provide services. We will treat covered transplants the same as any other medical condition.

Bronze 6900

Plan BenefitsIn Network Only
Deductible (single/family)

$6,900/$13,800

Maximum Out Of Pocket (single/family)

$7,150/$14,300

Primary Care Physician Services

$60 copayment per visit

Maternity Care (prenatal and postnatal)

Deductible

Specialist Visit

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Urgent Care

$60 copayment per visit

Emergency Room

Deductible

Freestanding Ambulatory Surgical Center

$200 per visit

Ambulance

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (one per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: deductible retail/deductible mail order;
Tier 2: deductible retail/deductible mail order;
Tier 3: deductible retail/deductible mail order;
Tier 4: deductible retail/deductible mail order

Specialty Pharmaceuticals

Tier 5: deductible retail/deductible mail order;
Tier 6: deductible retail/deductible mail order

Durable Medical Equipment

Deductible

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 30 combined visits per benefit year

Transplants

A BlueChoice-participating facility must provide services. We will treat covered transplants the same as any other medical condition.

Bronze 7150

Plan BenefitsIn Network Only
Deductible (single/family)

$7,150/$14,300

Maximum Out Of Pocket (single/family)

$7,150/$14,300

Primary Care Physician Services

$45 copayment per visit

Maternity Care (prenatal and postnatal)

Deductible

Specialist Visit

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Urgent Care

$50 copayment per visit

Emergency Room

Deductible

Freestanding Ambulatory Surgical Center

$200 per visit

Ambulance

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (one per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: $30 retail/$60 mail order;
Tier 2: $30 retail/$60 mail order;
Tier 3: deductible retail/deductible mail order;
Tier 4: deductible retail/deductible mail order

Specialty Pharmaceuticals

Tier 5: deductible retail/deductible mail order;
Tier 6:deductible retail/deductible mail order

Durable Medical Equipment

Deductible

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 30 combined visits per benefit year

Transplants

A BlueChoice-participating facility must provide services. We will treat covered transplants the same as any other medical condition.