Blue is now Silver.

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 Silver 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 Silver plan includes the same vision and dental benefits

Plan List

Silver 1250

Plan BenefitsIn Network Only
Deductible (single/family)

$1,250/$2,500

Maximum Out Of Pocket (single/family)

$6,150/$12,300

Primary Care Physician Services

$40 copayment per visit

Maternity Care (prenatal and postnatal)

$80 copayment first visit

Specialist Visit

$80 copayment per visit

Inpatient Hospital Services

Deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Urgent Care

$50 copayment

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$400, then deductible, then 50%

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: $20 retail/$40 mail order;
Tier 2: $20 retail/$40 mail order;
Tier 3: $60 retail/$120 mail order;
Tier 4: $80 retail/$160 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.

Silver 1500

Plan BenefitsIn Network Only
Deductible (single/family)

$1,500/$3,000

Maximum Out Of Pocket (single/family)

$6,600/$13,200

Primary Care Physician Services

$15 copayment per visit

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

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$250, then deductible, then 50%

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: $15 retail/$30 mail order;
Tier 2: $15 retail/$30 mail order;
Tier 3: deductible, then 50% retail/50% coinsurance mail order;
Tier 4: deductible, then 50% retail/50% coinsurance mail order

Specialty Pharmaceuticals

Tier 5: $250, deductible, then 50% retail/$250, then 50% mail order;
Tier 6: $250, deductible, then 50% retail/$250, 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.

Silver 2000

Plan BenefitsIn Network Only
Deductible (single/family)

$2,000/$4,000

Maximum Out Of Pocket (single/family)

$6,000/$12,000

Primary Care Physician Services

$0 copayment per visit

Maternity Care (prenatal and postnatal)

Deductible, then 50%

Specialist Visit

Deductible, then 50%

Inpatient Hospital Services

$300, then deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$300, then deductible, then 50%

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: $0 retail/$0 mail order;
Tier 2: $0 retail/$0 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: $250, then deductible, then 50% retail/ $500, then deductible, then 50% mail order;
Tier 6: $250, then deductible, then 50% retail/ $500, then 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.

Silver 2502

Plan BenefitsIn Network Only
Deductible (single/family)

$2,500/$5,000

Maximum Out Of Pocket (single/family)

$6,600/$13,200

Primary Care Physician Services

$25 copayment per visit

Maternity Care (prenatal and postnatal)

$50 copayment first visit

Specialist Visit

$50 copayment per visit

Inpatient Hospital Services

$250, then deductible, then 30%

Outpatient Hospital Services

Deductible, then 50%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$250, then deductible, then 30%

Ambulance

Deductible, then 30%

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: $10 retail/$20 mail order;
Tier 2: $10 retail/$20 mail order;
Tier 3: Deductible, then 30% retail/Deductible, then 30% mail order;
Tier 4: Deductible, then 30% retail/Deductible, then 30% mail order

Specialty Pharmaceuticals

Tier 5: Deductible, then 30% retail/Deductible, then 30% mail order;
Tier 6: Deductible, then 30% retail/Deductible, then 30% mail order

Durable Medical Equipment

Deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 30%

Transplants

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

Silver 3000

Plan BenefitsIn Network Only
Deductible (single/family)

$3,000/$6,000

Maximum Out Of Pocket (single/family)

$5,900/$11,800

Primary Care Physician Services

$20 copayment per visit

Maternity Care (prenatal and postnatal)

$50 copayment first visit

Specialist Visit

$50 copayment per visit

Inpatient Hospital Services

$300, then deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$300, then deductible, then 50%

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: $10 retail/$20 mail order;
Tier 2: $10 retail/$20 mail order;
Tier 3: $40 retail/$80 mail order;
Tier 4: $80 retail/$160 mail order

Specialty Pharmaceuticals

Tier 5: $250, then deductible, then 50% retail/$500, then deductible, then 50% mail order;
Tier 6: $250, then deductible, then 50% retail/$500, then 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.

Silver 3001

Plan BenefitsIn Network Only
Deductible (single/family)

$3,000/$6,000

Non-embedded Deductible
Maximum Out Of Pocket (single/family)

$6,600/$13,200

Primary Care Physician Services

$30 copayment per visit

Maternity Care (prenatal and postnatal)

$80 copayment first visit

Specialist Visit

$80 copayment per visit

Inpatient Hospital Services

Deductible, then 30%

Outpatient Hospital Services

Deductible, then 30%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$500copayment per visit

Ambulance

Deductible, then 30%

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: $20 retail/$40 mail order;
Tier 2: $20 retail/$40 mail order;
Tier 3: $50 retail/$100 mail order;
Tier 4: $70 retail/$140 mail order

Specialty Pharmaceuticals

Tier 5: Deductible, then 30% retail/Deductible, then 30% mail order;
Tier 6: Deductible, then 30% retail/Deductible, then 30% mail order

Durable Medical Equipment

Deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 30%; 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.

Silver 3500

Plan BenefitsIn Network Only
Deductible (single/family)

$3,500/$7,000

Maximum Out Of Pocket (single/family)

$5,500/$11,000

Primary Care Physician Services

$0 copayment per visit

Maternity Care (prenatal and postnatal)

$60 copayment first visit

Specialist Visit

$60 copayment per visit

Inpatient Hospital Services

Deductible, then 30%

Outpatient Hospital Services

Deductible, then 30%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

Deductible, then 30%

Ambulance

Deductible, then 30%

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: $0 retail/$0 mail order;
Tier 2: $0 retail/$0 mail order;
Tier 3: deductible, then 30% retail/ deductible, then 30% mail order;
Tier 4: deductible, then 30% retail/ deductible, then 30% mail order

Specialty Pharmaceuticals

Tier 5: deductible, then 30% retail/deductible, then 30% mail order;
Tier 6: deductible, then 30% retail/ deductible, then 30% mail order

Durable Medical Equipment

Deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 30%; 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.

Silver 3850HD

Plan BenefitsIn Network Only
Deductible (single/family)

$3,850/$7,700

Maximum Out Of Pocket (single/family)

$3,850/$7,700

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

Freestanding Ambulatory Surgical Center

Deductible

Emergency Room

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. We will treat covered transplants the same as any other medical condition.

Silver 4000

Plan BenefitsIn Network Only
Deductible (single/family)

$4,000/$8,000

Maximum Out Of Pocket (single/family)

$6,000/$12,000

Primary Care Physician Services

$15 copayment per visit

Maternity Care (prenatal and postnatal)

$40 copayment first visit

Specialist Visit

$40 copayment per visit

Inpatient Hospital Services

$300, then deductible, then 30%

Outpatient Hospital Services

Deductible, then 30%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$300, then deductible, then 30%

Ambulance

Deductible, then 30%

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: $15 retail/$30 mail order;
Tier 2: $15 retail/$30 mail order;
Tier 3: $50 retail/$100 mail order;
Tier 4: deductible, then 30% retail/deductible, then 30% mail order

Specialty Pharmaceuticals

Tier 5: Deductible, then 30% retail/Deductible, then 30% mail order;
Tier 6: Deductible, then 30% retail/Deductible, then 30% mail order

Durable Medical Equipment

Deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 30%; 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.

Silver 5001

Plan BenefitsIn Network Only
Deductible (single/family)

$5,000/$10,000

Maximum Out Of Pocket (single/family)

$6,850/$13,700

Primary Care Physician Services

$35 copayment per visit

Maternity Care (prenatal and postnatal)

$75 copayment first visit

Specialist Visit

$75 copayment per visit

Inpatient Hospital Services

Deductible, then 30%

Outpatient Hospital Services

Deductible, then 30%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$300, then deductible, then 30%

Ambulance

Deductible, then 30%

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: $10 retail/$20 mail order;
Tier 2: $10 retail/$20 mail order;
Tier 3: $30 retail/$60 mail order;
Tier 4: $55 retail/$110 mail order

Specialty Pharmaceuticals

Tier 5: deductible, then 30% retail/deductible, then 30% mail order;
Tier 6: deductible, then 30% retail/deductible, then 30% mail order

Durable Medical Equipment

Deductible, then 30%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 30%; 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.

Silver 6002

Plan BenefitsIn Network Only
Deductible (single/family)

$6,000/$12,000

Maximum Out Of Pocket (single/family)

$7,150/$14,300

Primary Care Physician Services

$0 copayment per visit

Maternity Care (prenatal and postnatal)

$30 copayment first visit

Specialist Visit

$30 copayment per visit

Inpatient Hospital Services

$300, then deductible, then 20%

Outpatient Hospital Services

Deductible, then 20%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

$300, then deductible, then 20%

Ambulance

Deductible, then 20%

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: $10 retail/$20 mail order;
Tier 2: $10 retail/$20 mail order;
Tier 3: $30 retail/$60 mail order;
Tier 4: $75 retail/$150 mail order

Specialty Pharmaceuticals

Tier 5: $250, then deductible, then 20% retail/$500, then deductible, then 20% mail order;
Tier 6: $250,then deductible, then 20% retail/$500,then deductible, then 20% mail order

Durable Medical Equipment

Deductible, then 20%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 20%; 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.

Silver 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

$0 copayment per visit

Maternity Care (prenatal and postnatal)

$30 copayment first visit

Specialist Visit

$30 copayment per visit

Inpatient Hospital Services

Deductible, then 40%

Outpatient Hospital Services

Deductible, then 40%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

Deductible, then 40%

Ambulance

Deductible, then 40%

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: $5 retail/$10 mail order;
Tier 2: $5 retail/$10 mail order;
Tier 3: $30 retail/$60 mail order;
Tier 4: $90 retail/$180 mail order

Specialty Pharmaceuticals

Tier 5: deductible, then 40% retail/deductible, then 40% mail order;
Tier 6: deductible, then 40% retail/deductible, then 40% mail order

Durable Medical Equipment

Deductible, then 40%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 40%

Transplants

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

Silver 6250

Plan BenefitsIn Network Only
Deductible (single/family)

$6,250/$12,500

Maximum Out Of Pocket (single/family)

$6,900/$13,800

Primary Care Physician Services

$0 copayment per visit

Maternity Care (prenatal and postnatal)

$30 copayment first visit

Specialist Visit

$30 copayment per visit

Inpatient Hospital Services

Deductible, then 25%

Outpatient Hospital Services

Deductible, then 25%

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

Deductible, then 25%

Ambulance

Deductible, then 25%

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: $10 retail/$20 mail order;
Tier 2: $10 retail/$20 mail order;
Tier 3: $30 retail/$60 mail order;
Tier 4: $75 retail/$150 mail order

Specialty Pharmaceuticals

Tier 5: $250, then deductible, then 25% retail/$500, then deductible, then 25% mail order;
Tier 6: $250, then deductible, then 25% retail/$500, then deductible, then 25% mail order

Durable Medical Equipment

Deductible, then 25%

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible, then 25%; 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.

Silver 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

$25 copayment per visit

Maternity Care (prenatal and postnatal)

$60 copayment first visit

Specialist Visit

$60 copayment per visit

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Emergency Room

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: $10 retail/$20 mail order;
Tier 2: $10 retail/$20 mail order;
Tier 3: $30 retail/$60 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

Transplants

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