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Quick guide to
YOUR TOTAL BENEFITS SOLUTION
Our ACA-compliant health plans are a reliable choice for cost-effective coverage.
They help empower your employees to stay healthier and save money on their health care.
Variety of coverage options
• 40 health plans: PPO, EPO, Direct POS, and HMO options
• Copay, coinsurance/deductible, copay/deductible, and
high-deductible health plans
• Site-of-service benefits included in certain health plans1
• Virtual care options with $0 and reduced cost-sharing
Prescription drug
• All health plans include prescription drug coverage
• Preferred Pharmacy network now includes Rite Aid pharmacies, where members can get a 90-day supply of maintenance medications for the same cost-share
as mail order
• All health plans include $3 low-cost generics2
Adult and pediatric vision
• All health plans include adult and pediatric vision benefits
• Members can use their in-network vision benefit at over 100,000 points of access including befitting.com, Glasses.com, and 1800Contacts.com
• Enhanced frame allowance available at Visionworks
Pediatric dental
• All health plans include pediatric dental benefits for dependents up to age 19
• Pediatric dental benefits provide 100 percent coverage for in-network dental exams and cleanings once every six months
Financial well-being tools
• Spending accounts (HSAs and HRA) are available with eligible health plans
• AblePay, The College Tuition Benefit, and GradFin are included at no cost to support members’ financial well-being
ADDITIONAL COVERAGE OPTIONS TO COMPLETE YOUR BENEFITS PACKAGE
You can purchase the following benefits to add to your Blue Solutions health plan for a holistic approach to helping your employees manage their health and wealth:
• United Concordia dental plans: Affordable standalone family and adult dental plan options, administered by United Concordia Companies Inc., encourage prevention, early diagnosis, and treatment of conditions before they become costly issues.
• Guardian® supplemental insurance: Life, disability, accident, critical illness, cancer, and hospital indemnity coverage provides employees with financial security in case of unexpected illness or injury.
• International health solutions through Blue Cross Global: Flexible solutions for short-term business travel and long-term expatriate assignments, providing access to one of the largest care networks in the world.
Learn more about these additional benefits beginning on page 26.
1. All plans include the Preventive Plus colonoscopy benefit. Other site-of-service benefits vary by plan design.
2. For HSA-qualified and HRA plans, members will need to meet their plan’s deductible to receive $3 low-cost generics. The PPO Bronze HSA-0 $7,050/100% plan will continue to apply
0% after deductible to all generic drugs.
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