Blue is now Bronze.

Enroll Now!

Check out our health plans and select the one that best fits you.

It's Open Enrollment Time! Check out our 2019 Bronze Plans here. We offer a variety of Blue Option Bronze plans for individuals and their 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 basic vision and preventive 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%

Urgent Care

Deductible, then 50%

Inpatient Hospital Services

Deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Emergency Room

Deductible, then 50%

Ambulance

Deductible, then 50%

Freestanding Ambulatory Surgical Center

$200 per visit

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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%; 15 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 5501

Plan BenefitsIn Network Only
Deductible (single/family)

$5,500/$11,000

Maximum Out Of Pocket (single/family)

$7,900/$15,800

Primary Care Physician Services

Deductible, then 50%

Maternity Care (prenatal and postnatal)

Deductible, then 50%

Specialist Visit

Deductible, then 50%

Urgent Care

Deductible, then 50%

Freestanding Ambulatory Surgical Center

Deductible, then 50%

Inpatient Hospital Services

Deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Emergency Room

Deductible, then 50%

Ambulance

Deductible, then 50%

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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%; 15 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 6000HD

Plan BenefitsIn Network Only
Deductible (single/family)

$6,000/$12,000

Maximum Out Of Pocket (single/family)

$6,000/$12,000

Primary Care Physician Services

Deductible

Maternity Care (prenatal and postnatal)

Deductible

Specialist Visit

Deductible

Urgent Care

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Freestanding Ambulatory Surgical Center

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Mammogram

$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; 15 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

Urgent Care

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Freestanding Ambulatory Surgical Center

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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; 15 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%

Urgent Care

Deductible, then 50%

Inpatient Hospital Services

Deductible, then 50%

Outpatient Hospital Services

Deductible, then 50%

Emergency Room

$300, then deductible, then 50%

Ambulance

Deductible, then 50%

Freestanding Ambulatory Surgical Center

$200 per visit

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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%; 15 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

Maternity Care (prenatal and postnatal)

$90 first visit, deductible.

Specialist Visit

$90 copayment per visit

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 per visit

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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; 15 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 7350

Plan BenefitsIn Network Only
Deductible (single/family)

$7,350/$14,700

Maximum Out Of Pocket (single/family)

$7,350/$14,700

Primary Care Physician Services

$45 copayment per visit

Maternity Care (prenatal and postnatal)

$90 first visit, deductible

Specialist Visit

$90 copayment per visit

Urgent Care

$50 copayment per visit

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Freestanding Ambulatory Surgical Center

$200 per visit

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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; 15 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 7900

Plan BenefitsIn Network Only
Deductible (single/family)

$7,900/$15,800

Maximum Out Of Pocket (single/family)

$7,900/$15,800

Primary Care Physician Services

Deductible

Maternity Care (prenatal and postnatal)

Deductible

Specialist Visit

Deductible

Urgent Care

Deductible

Freestanding Ambulatory Surgical Center

Deductible

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams 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 retail/deductible mail order;
Tier 6: deductible retail/deductible mail order

Durable Medical Equipment

Deductible

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 15 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 7901

Plan BenefitsIn Network Only
Deductible (single/family)

$7,900/$15,800

Maximum Out Of Pocket (single/family)

$7,900/$15,800

Primary Care Physician Services

$50 copayment per visit

Maternity Care (prenatal and postnatal)

$100 first visit, deductible

Specialist Visit

$100 copayment per visit

Urgent Care

$50 copayment per visit

Freestanding Ambulatory Surgical Center

$200 copayment per visit

Inpatient Hospital Services

Deductible

Outpatient Hospital Services

Deductible

Emergency Room

Deductible

Ambulance

Deductible

Mental Health and Substance Abuse

Covered as any other medical benefit.

Gynecologist Exam (two exams per benefit year)

$0

Routine Screening Mammogram

$0

Routine Screening Colonoscopy

$0

Prescription Drugs

Tier 0: $0 retail/$0 mail order;
Tier 1: $35 retail/$70 mail order;
Tier 2: $35 retail/$70 mail order;
Tier 3: $60 retail/$120 mail order;
Tier 4: $75 retail/$150 mail order

Specialty Pharmaceuticals

Tier 5: $300 retail/$600 mail order;
Tier 6: $300 retail/$600 mail order

Durable Medical Equipment

Deductible

Physical Therapy, Speech Therapy, Occupational Therapy and Habilitation

Deductible; 15 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.