Blue has you covered.

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 Catastrophic plan option for adults under age 30. It is also available to those eligible for a hardship exemption. These exemptions include events such as a recent family death, a bankruptcy filing in the last six months, or fire or flood damage to your property. This plan offers the same vision and dental benefits as all other Blue Option plans. You'll find a summary of this plan's other benefits by clicking the plan name.

Plan List


Plan BenefitsIn Network Only
Deductible (single/family)


Maximum Out Of Pocket (single/family)


Primary Care Physician Services

$25 for first three visits; deductible thereafter

Maternity Care (prenatal and postnatal)


Specialist Visit


Inpatient Hospital Services


Outpatient Hospital Services


Urgent Care


Emergency Room


Freestanding Ambulatory Surgical Center

$200 per visit



Mental Health and Substance Abuse

Covered as any other medical benefit

Gynecologist Exam (one per benefit year)


Routine Screening Mammogram


Routine Screening Colonoscopy


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


Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 15 visits for habilitative care and 15 visits for rehabilitative care per benefit year.


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