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Plan Benefits

Great benefits and extras you’ll love

No matter which Marketplace plan you choose, you’ll get:

  • Free virtual care visits
  • Mental health care
  • Care support from health navigators
  • Prescription coverage
  • Healthy Maternity Program
  • Discounted gym memberships

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Free virtual care visits

Teladoc Health® primary care providers and dermatologists available by phone/video chat

Mental health care

Including in-person and telehealth providers and online programs

Support for long-term conditions

Including asthma, diabetes, mental health conditions and more

Free preventive benefits

Including checkups, vaccinations, mammograms and more

Free dental and vision for kids

Until age 19

Gift card rewards

Up to $400 per year for certain health screenings and other wellness activities

All of these benefits are included in every BlueCross Marketplace Plan. Start shopping now.

We offer three levels of plans

Whether you'd rather pay less each month or prefer having more control of your overall costs, it helps to think about how you and your insurance will split expenses when looking for affordable Marketplace insurance.
Let's get started and find the plan that's right for you.

How do I know if I'm eligible for a Marketplace subsidy?

More people than ever qualify for help paying for a plan than in the past. And more people than ever are eligible for plans with $0 premiums. So if you couldn't get help paying for a plan before, you might be able to now. And if you already qualified, you may be able to get more help now. Call us or your broker or go here to see if you qualify, and if so, for how much.

If you already have one of our Marketplace plans, take advantage of this increased financial help by going to bcbst.softheon.com. Reselect your current plan, or choose a new one.

We're here to help if you have questions. Just give us a call at 1-800-845-27381-800-845-2738.

What are the out-of-pocket costs for each plan?

Out-of-pocket costs are the expenses for your health care that your insurance doesn't cover. This can include things like deductibles, coinsurance, copayments and other services.

See the out-of-pocket costs for each of our plan levels.

Plan level Through the
Marketplace
Through
BlueCross
Deductible Member
Coinsurance
Out-of-Pocket Maximum Works
with HSA?
Individual Family Individual Family
Bronze B07 check mark check mark $5,950 $11,900 50% $7,100 $14,200 check mark
Bronze B07
(Network E)
  check mark $5,950 $11,900 50% $7,100 $14,200 check mark
Bronze B15 check mark check mark $9,200 $18,400 0% $9,200 $18,400  
Bronze B16 check mark check mark $7,500 $15,000 50% $9,200 $18,400  
Bronze B17 check mark check mark $9,200 $18,400 0% $9,200 $18,400  
Silver S20 This plan is only available through bcbst.com. For plan S20, affordable copays on drugs even before you meet your deductible - from $20 on generics, up to $100 on brand drugs. This means that you don't have to meet your deductible before we help you pay for these drugs. Check our preventive drug list to make sure the daily medications you take are on it.   check mark $3,200 $6,400 50% $7,300 $14,600  
Silver S25 check mark check mark $0 $0 50% $8,900 $17,800  
Silver S26 check mark check mark $5,000 $10,000 40% $8,000 $16,000  
Silver S27 check mark check mark $5,300 $10,600 50% $6,300 $12,600  
Silver S29 check mark check mark $5,300 $10,600 50% $6,300 $12,600  
Gold G06 check mark check mark $3,000 $6,000 20% $6,600 $13,200  
Gold G08 check mark check mark $1,500 $3,000 25% $7,800 $15,600  

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What are the prescription costs for each plan?

Here's how the prescription costs break down based upon your plan level.

Plan level Copay and Coinsurance Ranges
Generics Preferred Brand Drugs Non-Preferred Brand Drugs
Bronze B07 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Bronze B15 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Bronze B16 $25 Rx Copay $50 Rx Copay
After Deductible
$100 Rx Copay
After Deductible
Bronze B17 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Silver S20 For plan S20, affordable copays on drugs even before you meet your deductible - from $20 on generics, up to $100 on brand drugs. This means that you don't have to meet your deductible before we help you pay for these drugs. Check our preventive drug list to make sure the daily medications you take are on it. Deductible/Coinsurance
$20 Preventive Rx Copay
Deductible/Coinsurance
$50 Preventive Rx Copay
Deductible/Coinsurance
$100 Preventive Rx Copay
Silver S25 50% After $4,500
Drug Deductible
50% After $4,500
Drug Deductible
50% After $4,500
Drug Deductible
Silver S26 $20 Rx Copay $40 Rx Copay $80 Rx Copay
After Deductible
Silver S27 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Silver S29 Deductible/Coinsurance Deductible/Coinsurance Deductible/Coinsurance
Gold G06 $8 Rx Copay $35 Rx Copay $60 Rx Copay
Gold G08 $15 Rx Copay $30 Rx Copay $60 Rx Copay

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What does "deductible/coinsurance" mean?

Deductible: The amount you pay each year before your health plan begins paying.

Coinsurance: The percentage of costs for care that you'll pay - usually after you've paid your deductible.

a man and woman are sitting outside on their porch reviewing their plan benefits
READY TO SHOP FOR A PLAN?

Plans with financial help

Most people can get help paying for their plan from the federal government. See if you're eligible for financial help when buying one of our plans on the Marketplace.

  • 93% of people qualify for individual and family plans with financial help
  • Many qualify for plans with a $0 monthly premium
  • Shop plans even if you don't qualify for financial help

Call 1-800-845-2738 to get started, or click/tap the button below.

Call 1-800-845-2738 to get started, or click/tap the button below.

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Plans without financial help

Even if you don't qualify for financial help on a plan, you can still sign up directly with us. Let us help find the right plan for you.

Several of the plans listed above are available on the Health Insurance Marketplace. Here's information that may be helpful as you shop for the right plan for you.

Transparency in Coverage